Name 

    Street 

      City    State    Zip 

   Phone H            Phone W 

Occupation       Normal Hours 

Metal Detector/s, Other Detection Equipment Or Related Items



Types Of Hunting & Places Preferred 



What are you able to contribute to the club 
(equipment, personal services, collectibles info, etc.)



Would you like to be a member of a search team (police, etc.)

 Yes  No

Other Club Memberships (coin, collector, etc.) 



Other Hobbies Or Interests 





RENEWAL    NEW*    SPONSOR

   MEMBERSHIP:(does not include FMDAC dues)

  *NEW MEMBERS MUST MEET REQUIREMENTS AS PER BY-LAWS

       SINGLE = $25.00

       FAMILY = $30.00 spouse & children under 18

       SENIOR = $10.00 65 or older

   FMDAC DUES = $ 5.00 for each member (any type)


Date     Signature 

Total Amount Due $ 

Birthday/s (year needed for Senior members) 

         Children & Others only month & day 


                               REVISED 2008