Copy of Application Form

Central Oklahoma Metal Detecting Club

Membership Application

New Member_______   Renewal_______

Name(s):_____________________________________________________________________________________________

Birthdate(Month/Day)_______________________________Anniversary(Month/Day)______________

Address:_____________________________________________________Home Phone:________________________

City:__________________________________State:________Zip:___________Cell Phone:_____________________

E-Mail:__________________________________________________________Paid by Cash:_______Check:_______

Membership: Individual ages 18-64 ($40.00), over the age of 65 ($35.00), ages 13-17 ($20.00) (Note: ages 13-17 are non-voting memberships), below the age of 13 is free membership with fully paid membership. Dual Membership, Husband and Wife ($60.00)

EACH MEMBERSHIP APPLICATION WILL BE REVIEWED FOR APPROVAL BY THE MEMBERSHIP BOARD.

Membership dues are subject to review and change by the executive board.

I am interested in: ⎕ Monthly speakers/programs ⎕ Monthly outings

⎕ Outings to “historical sites” ⎕ Relic hunting ⎕ Geocaching ⎕ Hunting Partner

⎕ Instruction to pinpointing ⎕ Water detecting ⎕ Coin shooting ⎕ Instruction in proper digging

⎕ Dowsing ⎕ Gold Prospecting ⎕ Instruction in use of detector                

Signature: _______________________________________________________Date:____________________________

For information contact one of the following: David Kimble – (405)308-9441,

Brad Patterson – (405) 830-8406, Charlie Ritter – (405) 799-2204,

Larry Dobbs (405)692-0513

Or E-mail: diggingwithcomdc@gmail.com

Check out our webpage- WWW.comdc.club   

Also check us out on Facebook at Central Oklahoma Metal Detecting Club

                                                            Membership Application Form revised (3/11/17)