
Membership
Application
Membership
___ E-Membership ___
Name:
______________________________________________
Address: ____________________________________________
City: __________________________ St: ____ ZIP: _________
Home phone: ________________________________________
Cell phone: __________________________________________
Email: ______________________________________________
Membership
includes:
• Member ID card • Monthly meetings •
Education • Certification • Site visits... and lots of
FUN!
Yearly Membership
Dues
• Individual: $100 • One + One: $150 • Student
(with ID) $50 • Senior (50+) $50
E-Membership
includes:
• E-Member ID card • Monthly
Ghost-Grams • Education • Certification • On-line
networking
Yearly
E-Membership Dues
•
Individual: $50 • Student (with ID): $25 • Senior (50+):
$25
Print and complete application, enclose
yearly dues, and mail to:
Big Muddy Ghost Hunters
P.O. Box 3002
Dubuque, IA 52004-3002