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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