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 application cannot be submitted without 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 first name is required
Last Name	A last name is required
Business, Co-Op, Club, or Farm Name
Address	An address is required
Address 2
Address 3
City	A city is required
State/Province	for provinces, scroll all the way down A state/province is required
Zip/Postal Code
Country	A country is required
Email Address	An email address is required The email format is not valid
Phone	A phone number is required
Birth Date

Membership Category	Please Choose One:
	ONLINE REGULAR (Online Regular - voting - memberships: 18 years or older AND resident of U.S., Canada or Mexico - must be or have been a licensed falconer. NO PUBLICATIONS SENT.)
	ONLINE ASSOCIATE (Online Associate - non-voting - memberships: 12-17 years old OR non-resident of U.S., Canada or Mexico OR never legally practiced falconry. NO PUBLICATIONS SENT.)
	REGULAR (Regular - voting - memberships: 18 years or older AND resident of U.S., Canada or Mexico - must be or have been a licensed falconer. PUBLICATIONS SENT.)
	ASSOCIATE (Associate - non-voting - memberships: 12-17 years old OR non-resident of U.S., Canada or Mexico OR never legally practiced falconry. PUBLICATIONS SENT.)
	AFFILIATE - Organizations ONLY (PUBLICATIONS SENT.)

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
Email Address
Phone

Name
Email Address
Phone

Bio:	Please provide a brief Bio about yourself and your involvement with falconry:


	Are you a Falconer? ? ? ? ?	Yes No
	Publish my E-Mail address in the NAFA Directory?	Yes No
	Publish my Phone number in the NAFA Directory?	Yes No
	Publish my home Address in the NAFA Directory/	Yes No
	Receive E-Mailfrom 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
	*Please note ONLINE members will not receive printed material.

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

Email Address

Phone

Birth Date

Membership Category

References

Name

Email Address

Phone

Name

Email Address

Phone

Bio:

Code of Conduct: