DISCOVERING RHODE ISLAND TREASURE
 Membership Application 2004

Please complete all applicable information below and return with yearly dues payment. The membership
year runs from January to January. Mail application with $20.00 for single or $25.00 for a family to:
 Discovering Rhode Island Treasure, 73 Fairview Ave., Hope Valley, RI 02832
Make checks payable to D.I.R.T. or Greg Wightman
~ PLEASE PRINT AND COMPLETE BELOW ~

1. I AM A CURRENT MEMBER______ NEW MEMBER______

2. I AM APPLYING FOR A SINGLE MEMBERSHIP_____ FAMILY MEMBERSHIP_____

3. NAME_____________________________________________________________

4. MAILING ADDRESS____________________________________________STREET

_________________________________CITY_______________STATE________ZIP

5. TELEPHONE NUMBER ( ______ ) - ______________________________________

6. FAMILY MEMBERSHIP INFORMATION (if applicable)

7. E-MAIL ADDRESS_________________________________________________

8. URL Address______________________________________________________

9. DO YOU WANT TO BE IN THE CLUB DIRECTORY? YES_______ NO ______

By my signature below, I agree to abide by all state and local laws concerning metal detecting, as well as Club rules.
I will seek and get permission to search private lands. I will fill all my holes, and carry out all the trash.
I will report live ammunition or lethal objects to the police. I agree to be polite & informative to those who ask about
the metal detecting hobby (You are the one who can show a good image, because there are some who want to ban
our hobby). I also agree to not hold any club members or officers responsible for any harm or accidents
I have while on club outings or events. I have read the rules and agree to abide by them

SIGNED___________________________________________ DATE_______________