Gold Claims Order Form - 40 Acre Gold Claims for sale in Quartzsite, Arizona - Friends to Health
 

Gold Claims Order Form

 
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Gold Claims

 

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Natural Health

 

Gold Claims Order Form

All 40 acre claims are $1250.00 each

Complete informational packet will be priority mailed to you which contains all information in obtaining (claim in your name) and keeping your claim legal and up to date

 

To order by mail send check, cashers check, or money order - print and mail form to:

Diana Davis

1631 Harvey Street SE

Post Office Box 190-04042

Jefferson, Oregon 97352

^Please place check mark by claim or claims chosen and fill out form below

 CHECK DESCRIPTION
Sold Gold Mountain 2  
Sold Gold Mountain 3
Gold Mountain 4
Gold Mountain 5
Gold Mountain 6
Gold Mountain 7
Sold Gold Mountain 8
Gold Mountain 9
Gold Nugget 9
Gold Nugget 10

Total of Claims Ordered: __________  X  $1250.00 each  =  $____________________

BILLING
First Name
Last Name  

P  

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country 

  

		

Carrie Diana Davis 
Copyright © 2009 [Friends To Health] All rights reserved 

Revised: 
03/31/10

	





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