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*