Putnam/Westchester Metal Detectorists & Archeological Society, Inc.

Ted Izzo,  President

55 Wayacross Road

                 Mahopac, New York 10541                  

                                              Email: forms@greattreasure.com

CLUB WEB SITE ADDRESS:  http://www.greattreasure.com

MEMBERSHIP APPLICATION                        Date:_______/______/20__

                                            2010 Club Dues 

P/WMD&AS, Inc. Dues……………………………………………$40.00

FMDAC……………………………………………………………….$ 5.00

                                                                        TOTAL…….$45.00

Name:___________________________________________________________

Address:_________________________________________________________

City:___________________________State:__________________Zip_______

Phone#:(____)______-_________

E-Mail Address:_____________________________________

Use my above information for fellow members &/or Vendors Yes—No—

Unless otherwise noted club meetings are held on the 1^st Thursday of the Month at Sparkle Lake, 258 Granite Springs Road, Yorktown Heights, NY, 7:00 pm.  There are no meetings scheduled for July, August, December and January.

Please bring this notice to your first meeting.  If you are unable to attend any of the scheduled club meetings and would like to become a member, please print and complete this application, enclose a check for the appropriate amount made out to the P/WMD&AS, Inc. and mail to the Club’s Treasurer:

                                                  Larry Cohen

                                                2664 Cecile Drive

                                      Yorktown Heights, New York 10598