Great Lakes Falconers Association

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Online Application

First Name *

Last Name *

Address1 *

Address2

City *

State/Province *

Zip *

Country

Telephone

Email *

Last falconry permit held

License#

State

License Class Apprentice General Master

May we publish the above information in the GLFA Directory? * Yes No

Occupation

Heard about the GLFA through

Falconers / Members you know

Also a member of

Other outdoor interests

Applicant agrees to abide by the Constitution and Bylaws of GLFA to which this membership application is directed. I hereby certify that I am at least 14 years old and that all of the information listed is accurate to the best of my knowledge.

Please check to confirm * I agree

Annual dues are:
Individual $25.00 ($35.00 outside USA)
Family $30.00 ($40.00 outside USA)

Will pay * Online By mail