Application

South Jersey Metal Detecting Club, Inc2016 Membership Application
Print Out This Form Fill It Out And Mail It In

Last Name_________________________ First Name____________________MI_______ 
Date of Birth_____/_____/_____ 
E-mail Address__________________________________ 
Address__________________________________________________________________
City_____________________________ State___________ Zip___________________
Home Phone_________________________ Work Phone___________________________
Fax Number__________________________ Occupation__________________________
Your Main Machine________________________________________________________
Your Backup Machine______________________________________________________
Family Members Names Relationship Date of Birth
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
If you need more space, use the back of the form.
2016 Dues
Regular Member ......................$15.00 __________
Family Plan...... ...................$25.00 __________
Junior Member ......(17 & under).....$10.00 ___________
Senior Member .......................$8.00 ___________ (After 1st year as Regular Member)
Optional FMDAC Membership Dues $5 -- per person (**Must be a member of the SJMDC**)
Number of FMDAC Memberships __________ X $5.00 __________
Total Amount Enclosed $________________________
Do you need a membership card? yes / no
​Would you be interested in receiving your "Digger" via email to save the club postage? yes/no 
(if yes make sure you filled in the email address above!)
Make checks payable to SJMDC. 
Mail to:
SJMDC 
​Membership Secretary
PO Box 292
Haddon Hts., NJ 08035
Any question click here to send an e-mail.
Allow 4 to 6 weeks for your membership card to be mailed to you.