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)