Please enable JavaScript in your browser to complete this form.
Contact Details - Step 1 of 4

I hereby consent to the collection, use and disclosure by Fortuna Mining Corp. (“Fortuna”) of my personal information provided herein for the purpose of enabling Fortuna to obtain travel authority to Argentina on my behalf.

Please contact Adam Scherkus at ascherkus@fmcmail.com if you require further information about the collection, use and disclosure of your personal information by Fortuna.

Acknowledgement