Beaver County Detecting Club
Membership Application
NAME* (PRINT)__________________________________________
ADDRESS*______________________________________________
PHONE*________________________________________________
EMAIL*________________________________________________
DATE*_________________________________________________
Adult membership_____, Family Membership_____
Youth Membership 15 years of age or less ____
Number of Years Detecting___________________________________
Type of Detector Used______________________________________
What do you like to search for?________________________________
What is your most valuable find?_______________________________
Are you a current member of the FMDAC? YES_____ NO_____
Signature*________________________________________________
All information is optional except
for items with
Dues are $10.00 annually for
members & $15.00 per family to be submitted with application.
Dues may be submitted via Check, Money Order, or cash
MAKE ALL CHECKS OUT TO OUR TREASURER
Please mail the application to the Membership Committee or bring it to the meeting.
Membership Committee
Harry Niemeyer
73 McGovern Blvd
Crescent, PA 15046