Mount Diablo Metal Detecting Club

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Mount Diablo Metal Detecting Club Membership Application
Mount Diablo Metal Detecting Club Membership Application

Membership number ____________________ (assigned by the club once your membership is approved)

Membership Dues: (check your preference below):
Single Membership - $24.00/year Family Membership - $30.00/year

Date:
Name:
Address:
City: State: Zip code:

Cell Phone: Home Phone:

E-mail Address:

Owned Detector Type:

Would you like to run for a club board position?:
Yes No Maybe


You can pay in advance for multiple years or one year. Please check the year(s) after you print this document.:

2022 _____ 2023 _____ 2024 _____ 2025 _____ 2026 _____ 2027 _____

2028 _____ 2029 _____ 2030 _____ 2031 _____ 2032 _____ 2033 _____


Print out and mail this completed application along with your check/money order to:

Mount Diablo Metal Detecting Club
C/O Ken Housfeld
900 Hamilton Drive
Pleasant Hill, CA 94523

Please allow 2 weeks for your application to be processed