Online Application Form

Please fill out the form below. If you wish to pay securely online, you will have the option of being taken to the secure PayPal site to process your payment.

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First Name:*

Last Name:*

Email:*

Re-enter Email:*

Message:

Address*

City*

State*

Zip Code*

Home Phone*

Cell Phone*

License Type*

I am not a falconer
I am a licensed apprentice
I am a licensed general
I am a licensed Master.

Birds currently in possession*

As a member of the Arizona Falconers Association I hereby pledge to support its mission and to abide by wildlife laws of the State of Arizona.

I hereby certify that the information is true and correct and authorize the Arizona Falconers Association to make any necessary inquiries deemed necessary to evaluate this application.

Confirmation - I agree*

Annual dues are $25.00

Payment type*

Will pay online
Will pay by mail

Is this a*

New application
Renewal application

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