FLORIDA HAWKING FRATERNITY MEMBERSHIP AND DUES FORM

Membership dues for each season are due by January first of each year.

Please complete the renewal form below and return to:

     Anita Johnson, P.O. BOX 422794, Kissimmee, FL 34742.

    Email gos@ithink.net

Name:_______________________________     Date:__________________

Address:________________________________________________________

   ________________________________________________________

Phone (Home)_____________ (Work)________________ Email____________

Date of Birth:_____________ Occupation__________________________

What year did you start practicing Falconry?_____________________

Are you A NAFA Member? (NORTH AMERICAN FALCONERS ASSOCIATION)___Y ___N

If master Falconer, will you sponsor? ____ Yes  ____ No

The following ** questions are required for all regular members.

** If Apprentice Falconer, Name of Sponsor:______________________

** Falconry permit Number_________________  State of permit______

** Florida Hunting License Number________________________________

If you are presently flying a raptor please tell us about it:

Species____________________________  Name _______________________

Sex _____       Age_________     Year Trapped___________

(Check one:) ___ $15 Associate Member (Must be ten years of age)

   ___ $20 Regular Member (Gives Full Membership Status                   

and requires a falconry permit)

   ___ $20 Affiliate Member (club, organization, institution.)

Check or Money Order must accompany this application, payable to Florida

Hawking Fraternity. There will be a $20 service charge for any returned checks.

 First Time Applicants: This section must be completed so that FHF can

process your application. If you require assistance in obtaining two references

please call of write the FHF Secretary/Treasurer. All references must be  current

Florida Hawking Fraternity members.

Reference Name:________________________

Phone:(home)________________    (work)___________________________

Address:_________________________________________________________

        _________________________________________________________

Signature:_____________________________  Date__________

Reference Name:________________________

Phone: (home)_______________    (Work)___________________________

Address:_________________________________________________________

        _________________________________________________________

Signature:_____________________________  Date___________