Name:

Address:

Phone:

Email:

Anthony “Breed” Hickerson or landowner is not responsible for loss or stolen items while on the hunt field.

By my signature, I acknowledge that I fully understand the S.C. Low Country Relic & Coin Hunt

information and rules.

Signature:

Total Enclosed:$

Make check or money order payable to:Anthony Hickerson

Please mail registration form to:

Anthony or Angie Hickerson

73 Thomas Hamilton Rd.

Brunson, SC29911

Mail your registration form back along with your check or money order as soon as possible, since there will be a limit to the amount of hunters allowed to participate.

You will be sent a confirmation upon receipt of this registration form.

HUNT WILL GO ON RAIN OR SHINE!!

NO REFUNDS!!!!