Millennium Diggers Club Application

To join the Millennium Diggers Club, please print and mail the completed form below along with your check or money order (Payable to Millennium Diggers Club):

Millennium Diggers Club
1441 Stone Hedge Dr.
Keizer, OR 97303

Membership Information Name:__________________________________________ Street:__________________________________________ City:___________________________________________ State:________ Zip:_______________________________ County:_________________________________________ Phone:__________________________________________ E-mail Address:___________________________________ Date Of Birth For Calendar: Month ______ Day ______ Your contact information will be added to our MEMBERS ONLY DIRECTORY. This enables you to be contacted by other members that would like to get together or exchange information and ideas related to the club. If you choose not to be added to the directory you must choose that option below. ___ Do not include my contact information in the members only directory. I understand that the activities in this club involve some hazards and will not hold The Millennium Diggers Club liable for any injuries incurred while participating in club functions. Signature:_______________________________________ Date:__________________________________________

Membership Newsletter via the Internet or email or mailed to your home: _________ $40.00 Yearly Membership Fee _________ Donation (optional) $________ Total

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