CORP
Membership Application
& Information
Name(s)
_________________________________________________________
Loft
Name ________________________________________________________
Address
__________________________________________________________
City
____________________________________ Zip ______________________
Phone
____________________________ Cell ____________________________
E-Mail
____________________________________________________________
Do
you currently own a pigeon timer? ____________________Have
you been a member of another pigeon club? ________________
If
“yes”, please provide club name and contact information:
Are
you applying for an individual or a family membership? _________________
Would
you like your name or loft name to show on your awards and diplomas?
________________________
*
Race secretary will provide loft survey - $35.00 fee.