Valley Prospectors New Membership Application
New members can join for a $100 initiation fee and $40 annual dues for a total of $140 the first year. All memberships expire on Dec 31 of each year. Memberships are not prorated. 
Renewals are $40 per year due by January 31st of the following year.

Payment may be by check payable to Valley Prospectors in the amount of $140.  
Mail to Valley Prospectors PO Box 2923, San Bernardino, CA 92406

Or you can Zelle $140 to valleyprospectors49@gmail.com - please note your name and contact information so I can confirm payment with the below application. 

If you wish to pay via PayPal - the cost is $147 (includes $7 convenience fee). A PayPal invoice will be sent to your email address.  

Once payment is received, a new membership packet will be sent along with your membership card(s) and access code to the Members Only website.

Thank you for your interest in Valley Prospectors.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Spouse First Name
Spouse Last Name
Mailing Address *
City *
State *
Zip Code *
Home Phone
Cell Phone
Email Address
Alternate Email Address
Valley Prospectors and its members are not responsible or are to be held liable for injury, illness or death occurring at any club claim, function or outing, by any member or guest.  Each member and their guests are responsible for being properly informed of potential hazards or risks that may occur while engaged in recreational activities.   Enter claims at your own risk.  Checking below indicates that you have read and understand this agreement and agree to the above.   *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy