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Rainier Chapter

Member Application

Please print the form below. When filled out, return it to the address below.

 

Name: ____________________________________________________________________
Address: __________________________________________________________________
City/State/Zip: ______________________________________________________________
Home Phone:_______________________________________________________________
Email Address:______________________________________________________________
Falcon(s) Owned: ___________________________________________________________

 

Would you be interested in receiving the newsletter via email?  Yes  No

Would you like more information on the National Falcon Meet?  Yes  No
Would you like more information on the National Falcon Club?  Yes  No

Would you be interested in hosting a meeting at your house?  Yes  No

 

Are you able to attend meetings the third Saturday of the month?  Yes  No
If not, when would work better for you? _____________________

 

* Please supply address you would like to receive the newsletter at and the phone number and email address you would prefer being contacted at.

Mail to:

Rainier Chapter F.C.A.
Jeremy McCoy
215 South G Street, #22
Tacoma, WA 98405

* You may also email the information below to our president, if you so desire.