New Member Application

New Membership Application

Please note: When you fill out the form, some fields are required and if left empty will give you a message of "A value is required." Please go back to that field and fill it in. Your applicatiion can not be submitted with out all required fields filled in. A copy of your application will be immediately emailed to you once you hit Submit Application. You will then be taken to another page to make payment via PayPal.

First Name	A value is required.
Last Name	A value is required.
Business, Co-Op, Club, or Farm Name
Address	A value is required.
Address 2
Address 3
City	A value is required.
State/Province	for provinces, scroll all the way down
Zip/Postal Code	A value is required.
Country
Home Phone	A value is required.
Work Phone
Birth Date	Invalid format. A value is required. mm/dd/yyyy
Email Address	A value is required. Invalid format.

Membership Category	Please Choose One:
	REGULAR (18 years or older AND resident of U.S., Canada or Mexico - must be or have been a licensed falconer)
	ASSOCIATE (12-17 years old OR non-resident of U.S., Canada or Mexico OR never legally practiced falconry)
	AFFILIATE - Organizations ONLY

References	(required for U.S., Canada and Mexico applicants only). References may be either one
	current, regular member of NAFA or two persons who know you in your local falconry or
	conservation club community.
Name	A value is required.
Email Address	A value is required. Invalid format.
Phone	A value is required.

Name	A value is required.
Email Address	A value is required. Invalid format.
Phone	A value is required.

Bio:	Please provide a brief Bio about yourself and your involvement with falconry:
	A value is required.

	Are you a Falconer? ? ? ? ? Yes No
	When publishing membership information, should Yes No
	we publish your E-Mail address?
	When publishing membership information, should Yes No
	we publish your Phone number?
	When publishing membership information, should Yes No
	we publish your Mailing address?
	Receive E-Mail from NAFA? Yes No
	Receive a printed copy of the NAFA Directory? Yes No
	Receive copies of Hawk Chalk publications? Yes No
	Receive the annual NAFA Journal Yes No

Code of Conduct:	Click here to read NAFA's Code of Conduct.

	I have read, and agree to follow
	NAFA's "Code of Conduct" Yes No

First Name

Last Name

Business, Co-Op, Club, or Farm Name

Address

Address 2

Address 3

City

State/Province

Zip/Postal Code

Country

Home Phone

Work Phone

Birth Date

Email Address

Membership Category

References

Name

Email Address

Phone

Name

Email Address

Phone

Bio:

Code of Conduct: