Membership Application  

                    Virginia Chapter
                        of the
            Eastern Gold Prospectors Association
                 1124 Tom Johnston Rd.
                    Aroda, VA  22709

VA-EGPA is a non-profit organization and there are no dues
required to participate in VA-EGPAP activities and to receive
meeting announcements. VA-EGPA members who make a voluntary
contribution of $10 or more to the club will receive a
laminated membership card thanking them for their
contribution.

Please include the following information so we can keep
our records current:


Name_____________________________________________________

Address__________________________________________________

_________________________________________________________

Telephone No. ___________________________________________

Email ___________________________________________________

Note that Email is the quickest and least expensive way
to receive VA-EGPA meeting announcements.  Unless you specify
otherwise, we will send your announcements by Email.

Privacy: VA-EGPA membership information will be treated as
private by VA-EGPA and will not be shared with other organizations
or persons without your permission.