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NAME*________________________________________________
ADDRESS*_____________________________________________
PHONE*________________________________________________
EMAIL*________________________________________________
DATE*_________________________________________________
Number of Years
Detecting_________________________________
Type of Detector
Used_____________________________________
What do you like to search
for?______________________________
What is your most valuable
find?_____________________________
Are you a current member of
the FMDAC? YES_____ NO______
Additional information
(Family, work, membership in other clubs, offices held, etc.)
________________________________________________________
________________________________________________________
All information is optional
except for items with *
Dues are $15.00 annually to be submitted with application.
Dues may be submitted via Check, Money
Order, or cash
Make
ALL checks out to the
Butler County Treasure Hunters
Remit to the B.C.T.H.
(President Jack Barrett)
Jack Barrett
691 Beers Rd.
Sigel, Pa. 15860
jackbarrett58@hotmail.com |