Registration Form
[International Prospectors]


(Italian Form: click here)


Obligatory data
(Visible data)


First Name: Last Name:
E-mail: City, State/Province, Country:


What type of accessories do you use?


Optional data
(Visible data)


Comments (personal and/or on the web site):


If you have written any comments, would you like to see them in the "Guest Book" page? YES NO


Invisible data
(The answers to this section won't be public)


Date of birth: Sex: M F
Mail address: ZIP:
Telephone: Fax:
Occupation: Hobbies:
If you have a personal Home Page on Internet, indicate the address: Notes about Home Page:
How do you have known this site? If you have chosen "#" then specific which, if "Elsewhere" specific how:
Are you associated with any organizations of Gold Prospecting? YES NO If you have selected "YES" then indicate which:
Do you read magazines of Gold Prospecting regularly? YES NO
If you have selected "YES" then indicate which:
Would you like to receive possible catalogs and/or informations from Manufacturers/Retailers of Gold Prospecting? YES NO If you have selected "YES" then specific how (both also):       Mail
      E-mail


To send your data press the button and wait the response


If you don't receive the response please send an e.mail to:
metaldetecting@worldonline.it


Your data will be displayed in the next days!

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