Print and mail to:
Vein Mountain Recreational Miners Club
251 Lucky Strike Drive
Marion, NC 28752
(828) 738-4893

I would like to join the VMRC and take advantage of the mining, prospecting and
discount privileges. I have read and agree to abide by all club rules as described
to me at the time of receiving this application.

VMRC Membership: $100.00
Monthly Dues: $20.00
Total Amount Paid at Time of Entry: $_____ OR $340.00 1st Yr.
(Make checks payable to VMRC)
Please print legibly:
Applicant’s Name: ________________________D.O.B._______
Wife’s Name: ________________________D.O.B._______
Address: ____________________________________
                (Street)
              ____________________________________
              (City)          (State)          (Zip)
Date: _____________     Phone:(      )____ -______
Applicant’s Signature: _________________________________________