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#:(____)______-_________/on-line
for Newsletter?: Yes__ No__
E-Mail Address:_____________________________________ Use my above information for fellow members &/or Vendors Yes—No—
Unless otherwise
noted club meetings are held on the 1st 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 | 