WESTERNMINER.COM

Claim Database Submission Form
NAME
COMPANY
ADDRESS
CITY
 ZIP CODE
COUNTRY
TELEPHONE
FAX
E-MAIL
PROPERTY ($25 Set-up/$20 per month):
STATE
DISTRICT
MINERAL
CLAIM
NAME
Description
(500 words or less.Click the “Properties ” button for examples..Also submit one color picture to
fit 2.5 x 3.5 space (landscape or portrait).E-mail attachments of scanned photos accepted,otherwise enclose
addressed envelope for picture return.If form is not returned by e-mail attachment,print for mailing.)
ASKING PRICE
OFFER
CONTACT
(if not the same as Owner)
TELEPHONE
FAX
E-MAIL
ADDRESS
CITY/ST/ ZIP

WWW Link (with above,$10 per month):
WWW
ADDRESS



Call or E-mail for pricing on web site development. 1-888-231-5737 [email protected]
PDF Reports ($25 per month to 50 pages,$12.50 additional 50):
Available through database link, purchase of CD disks.
Production of Adobe Acrobat PDF files $2.00 per page,15 page minimum.Report packaging,photography,and video available.
www.WesternMiner.com

Washington State Office

PO Box 40 Underwood,WA 98611
509/493-2587 Fax 509/493-3276

E-Mail [email protected]

Alaska Office

2010 W.45th Ave.Anchorage,AK 99517
907/244-6449 Fax 907/248-4476

E-Mail [email protected]

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