Print & fill in this application and mail with dues to address below.

MEMBERSHIP APPLICATION FOR
THE SONOMA COUNTY FALCONS FOR FUN CHAPTER
NAME
ADDRESS
CITY                                                                  STATE                        ZIP CODE

NAME OF SPOUSE OR SIGNIFICANT OTHER, IF APPLICABLE

E-MAIL ADDRESS                                                                       PHONE #

FCA MEMBERSHIP #________
(if no number, indicate that the FCA membership is in process)

PLEASE LIST THE FALCONS/RANCHEROS OWNED:

Year Model/Style

Year

Model/Style

Year

Model/Style

DUES: Renewal $20 due in August
Dues if you join between
Aug & Oct - $20; Nov & Jan - $15; Feb & Apr - $10; May & July - $5


MAKE CHECK PAYABLE TO:
THE SONOMA COUNTY FALCONS FOR FUN

SEND APPLICATION AND CHECK TO:
John Guerini, SCFF Treasurer
3890 Rock Spring Drive
SANTA ROSA, CA 95405
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