Name:_______________________________________________ F.H.ID Number : ____________________

Address:____________________________________________ Phone: (______)____________________

City: ________________________________ State: ______ Zip Code:_________________

I agree that with such payment of $ 25.00 for my membership fee that I will receive the benefits as described within the web site known as Fossil Hnters 2000 and Minerals Club.

This membership fee is renewable once a year,at the time of this application is recieved, and I am accepted as a member. I agree that when I am at a sactioned Dig, or have notified the club, by listing it in the Yahoo club, of a particular dig I will be on.

I will conduct myself in a proper, legal, and professional manner. As Such the Insurance Benefits will be applicable, and other benefits will also be applicable when I identify myself as a member and show them my Club ID card.

This membership only covers the above listed individual and I will not lend out my ID card. or missrepresent myself in contray to the information given on this application.I am allowed to have up to two extra guests on a Sanctioned Club Dig for a singular Dig. However, that guest must become a member t attend any future Sanctioned Club Digs. I will be responsible for the actions of my guests and if they DO NOT abide by the rules and rtegulations set by the Sanctioned Club Dig, I will lose my membership, and asked to leave along with my guests.

My spouse and children may attend the Sanctioned Club Digs as my guest and are not subject to become a member. However, I will be responsible for their actions. The Club Insurance will not cover them during such activities, unless they are a member.

I have enclosed the amountof $25.00 in the form of a [___}check or [___]money Order which covers my memebership fee for one year.

Starting Date:_________________________ to Ending Date:____________________

I will be notified through my email Address: ___________________@______________________

Signed: ________________________________________ Dated:_____________________200___.

Spouses Name: ________________________________ Significant Other:_________________________

Children Names:______________________________________ ________________________________

______________________________________________ ______________________________________

______________________________________________ ______________________________________

______________________________________________ ______________________________________

Reproduction of this form for more then one member is not required. Those names listed under your signature can become a member simply by adding the additional amount of Membership fee with this application and placing a ** next to the name.

Filled out BY:
Fossil Hunters
Date Received: ______________________________ Amount Inclosed: $________________