Oregon Falconers Association

Membership/Application renewal

Name(s):                                                                                                          Falconry class:
                                                                                                                           (if applicable)

1)___________________________________________        Apprentice      General      Master

2)___________________________________________        Apprentice      General      Master

3)___________________________________________        Apprentice      General      Master

4)___________________________________________        Apprentice      General      Master

Current Raptor(s) flown:__________________________________________________________

Previous experience (years as falconer and raptors flown)_______________________________

______________________________________________________________________________

Are you willing to sponsor an apprentice?   Yes    No

Address:_____________________________________________

City:________________________________________________

State:______________ Zip:______________________________

Phone#:_____________________________________________

Email:_______________________________________________________________________

Membership type (circle one):

Regular Membership $15 Associate Membership $15

Family Membership $20 Friend of OFA Membership $15

For years:   2010     2011   2012   2013

Today's date:____________________                           Make Checks payable to:

                                                                               OREGON FALCONER'S ASSOCIATION

              Membership Dues: $_____________               Send payment to:
                                                                                                Anna Lewis
Peregrine Fund Donation* : $_____________                     15 NE 151st Avenue
                                                                                                Portland Oregon, 97230
                      Total Amount: $_____________

*Donations fund OFA actions and expenses to support successful Peregrine delisting and
management legislation in partnership with state and federal agencies.
member

OFA HOME