Membership Application
(To use this application, print it out with your printer, fill in the information, and mail it to the address at the bottom of this page. Thank you.)
Annual Dues
- Renewal:
- AFA Certified: $35.00 __________
- Non-Certified: $35.00 __________
- Retired: $5.00 __________
- FSFA#: __________
- New:
- AFA Certified: $35.00 __________
- Non-Certified: $35.00 __________
- Retired: $5.00 __________
- Lifetime: __________
- FSFA#: __________
Name: __________________________________
Current/Old FSFA#: ______________________
Address: ______________________________________________
City: _____________________________
State: __________________
Zip: _________________
Phone: _________________________
Date: ____________________
Please list other Organization memberships: ____________________________
Make checks payable to: Florida State Farriers Association.
Please mail this completed form to:
FSFA Secretary
Daryl Bean
1800 Marsh Road
Oviedo, Florida 32765
Return to the Florida State Farriers Association home page.
Return to the main listing of State or Local farrier associations.
