Miner's Wall of Pride
Application Form


LAST NAME:                     
FIRST NAME:                     
DATES WORKED:                     
MINE(S) WORKED AT:                     
                    


C = CALAND

SR = STEEP ROCK

Chlsn = CHARLESON

SGM = SAPAWE GOLD MINE

CAC = CONSTRUCTION AGGREGATES CORP.



Instructions:

Print the form on your printer.
Complete it and send with $10.00 to:

The Atikokan Mining Attraction
P.O. Box 1298
Atikokan, ON
P0T 1C0

For more information, please call (807) 597-6818
or email amaa@nwconx.net


Thank you for your support


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