Willamette Valley Miners Password Request

To request a password to use the Members Only site, please fill out the form below and
Willamette Valley Miners Club will contact you soon.
This information will be held strictly confidential
and is used for verification puposes only.
NOTE: All fields (except the comment field) are required to obtain a password.

Name:
Mailing Address: (This address must be the one that you use to receive your monthly newsletter.)
Street:
City	State	Zip
Phone #:
Email:
To ensure that only current members have a password, please enter the current club president's name here.
You will be able to access the current newsletter on this site (plus past issues) If you would like to help the Willamette Miners Club save money on postage and have your name taken off the mailing list for the newsletter, please indicate below. If you select yes, your name will be removed ONLY from the newsletter mailing list--you will still receive any other materials the club mails.
Yes, please remove my name from the newsletter mailing list No, I would like to continue getting the newsletter in the mail.
Comment: