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THAMembership Form

This document is a membership application for the Texas Hawking Association. It collects contact information, membership details, licensing information if applicable, and payment. Applicants can choose a new or renewal membership, regular or associate type. Sections gather the applicant's name and address, contact preferences, NAFA and falconry licensing details, donation amount, and signature. It provides instructions to mail the completed form and payment to the treasurer for processing.

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seth_crockett
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88 views2 pages

THAMembership Form

This document is a membership application for the Texas Hawking Association. It collects contact information, membership details, licensing information if applicable, and payment. Applicants can choose a new or renewal membership, regular or associate type. Sections gather the applicant's name and address, contact preferences, NAFA and falconry licensing details, donation amount, and signature. It provides instructions to mail the completed form and payment to the treasurer for processing.

Uploaded by

seth_crockett
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Texas Hawking Association

Membership Application
Membership Application / Renewal - January 1 thru December 31
(Applications received after September 1st will apply to following year)

Section 1
Member
Application Type: New Renewal (Please check Since:
One)

Membership Type: Regular Associate (Please check One)

Last Name: First Name:

Street Address: City: State: Zip:

Home Phone: Work Phone: Email Address:


( ) - ( ) -
Please do not publish the following Information in the Members Web Site Address:
Directory:
Name: Address: Email: Telephone Num/s:
Section 2
(Please check One)

Are you a Member of Yes No


NAFA:
Are you a Licensed Yes No (If Yes, Please Complete Section 3.)
Falconer:
Section 3

License Type:
Apprentice: FA#: State
Licensed:
General: FG#:
Master: FM#:
Rehab:
#:
Breeder:
#:

Section 4

Amount of Donation:
($35.00 Minimum for Membership)
Section 5

Signatur Check#
e: :

Date:

Mail to: Texas Hawking Association


c/o James Coody
6022 CR 3204
Campbell TX 75422
(Make checks payable to the: Texas Hawking Association)
Treasurer Only Below

Date Received: Check #:


Date Initials:
Deposited:

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