Escapees  Habitat for Humanity  Birds of a Feather

Renewal / New Member Application

Updated 1 April 2012

The membership year is May – April. Multi-year renewals are welcome. Dues are $5 per year per SKP

 number (extra charge for US Mail delivery of newsletter). You must be a current Escapee

 member to be an HFH BoF member.

Renewal (# of Years)__________  New member (# of Years)___________Info Update only_______

Name(s) _________________________________________ SKP# __________ Date ___________

Email ___________________________________________________________________________

2^nd Email_________________________________________________________________________

Phone(s) Home_____________________Cell1__________________Cell2 ____________________

Address _________________________________________________________________________

City _______________________________________ State _______ ZIP _____________________

HFH BoF newsletters are published quarterly and delivered as an email link to an online PDF file unless you

specify otherwise by checking an option below. Please be sure we have your correct email address:

 I want my HFH BoF Newsletter delivered:

_____By email as a link to an online PDF file (This is the default, and recommended, option)

_____By email as a plain text file (not recommended)

_____By US mail (There is a $3/year charge in addition to membership dues for this option.)

Type of Rig (Circle one)  MHA,  MHB  MHC,  5W,  TLR,  TrkCmpr   Length ______ # of slides_____

Have you served as an HFH build Team Leader?______

Number of HFH builds attended in 2011______    Number of HFH builds in a typical year?_______

The HFH BoF may publish a member roster.  May we include your email address?__________

I want _____ HFH BoF decals and have enclosed $1.00 for each, plus 45 cents for postage.

Checks should be made out to:   HFH  BoF,

and mailed to:   Allen Downs, 120 Rainbow Dr #2045, Livingston, TX  77399-1020.

Please Write “US Funds” on Canadian checks – Thank you.

Amount Enclosed__________________

That’s it – you’re done! Thank You

Sunday, 01 April 2012