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Gemaholics.com

D&J Rare Gems, Ltd.
P.O. Box 824
Salida, CO 81201
1.800.869.7493

raregems@amigo.net

D&J Rare Gemfest 2010 Registration Form

Name_______________________________________
Address______________________________________
____________________________________________
Email________________________________________
Telephone_____________________________
T-shirt Size S____ M____ L____ XL____ XXL____

Gem Fest August 12 through 15, 2010
Fee $159/person __________

Gem Fest Special Events
(Only available for paid 2010 Gem Fest Participants)
Topaz Claims (August 10, 2010)
Fee $25/person____________
Additional fee to mine owner will be required.

Amazonite Claims (August 16, 2010)
Fee $10/person____________


Total of Gem Fest 10 and Special Events Events_________________

Send Checks made out to D&J Rare Gems, Ltd.

Creditcard #_________________________________________
Exp. Date____________________
Name on Card____________________
Billing address_________________________________________

Salida is located at an elevation of 7,000 feet, the Tail Gate Show at 8,000 feet, and the peridot collecting will take place at an elevation of 9,600 feet. Keep this in mind if health problems may keep you from performing normal activities at these elevations.

Additional information will be provided upon the receipt of the completed registration form.
Full refund of fees if cancelled by July 1, 2010. A $25 charge will be deducted for all
cancellations between July 1 and August 1, 2010. No refunds for cancellations after August 1, 2010.

Mail to: D&J Rare Gems, Ltd., P.O. Box 824, Salida, CO 81201
Email: raregems@amigo.net