PLEASE PRINT THIS OUT!!!

APPLICATION FOR MEMBERSHIP TO:
SOUTHERN HISTORICAL RESEARCH & RECOVERY ASSOC. Yearly dues are Yearly dues are $40.00, which includes a $25.00 membership fee plus $15.00 for the club's liability insurance. The dues include membership for the applicant, spouse and all children under the age of 17 living at home. Renewal date is Jan 1st of each year(RENEWAL DUE JAN. 1st.) includes applicant, spouse, and your children.(under the age of 17yrs. living at home)

NOTE: Memebers joining after June 30th are not eligible for the two main hunts (COIN & RELIC) at the annual Club picnic for that year, but will be eligible for the following year. You are welcome to come and enjoy good food for the price of $8.00 for their families, fellowship, the raffles and the games.


Your Name: _______________________

Address:__________________________
_____________Apt:________.

City:______________________________

State:_____________Zip:_________

Hm Ph:___________________             

Email :____________________________


Name of Spouse and (children living at home, under the age of 17)
__________________________________ 
__________________________________ 
What brand and model of detector do you use___________________________

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Please make check or Money Order in the amount of $25.00 to: (S.H.R.R.A.) Southern Historical Research & Recovery Assoc.
3229 Grand Rt St. John
New Orleans, Louisiana 70119.

Or bring it to a club meeting.

Date:_______________

Signature:_________________________