printable version    

Please print this application and send it and your dues to the address below. 

The Brotherhood of Working Farriers Association

New Membership - Membership Renewal

Name_____________________________________________________________ Phone_________________________Mailing Address________________________

City__________________________ State__________________ Zip____________

Web address_________________________ Email___________________________

Membership: Please Select All That Apply 

I would like to: ______Join the BWFA ______Renew my Membership

                                                             Annual Membership     Lifetime Membership      Totals

_____Farrier Member                            _____$85                        _____$450                        _____

_____Certified Farrier Member               _____$85                        _____$450                         _____ _____Veterinarian or Company Member_____$250                       ____$1000                        _____

_____Horse Owner Member                  _____$35                         _____$550                        _____

_____Foreign Member (Outside U.S.)    _____$150                       _____$550                         _____

_____Lifetime Gold Card when current BWFA members turn age 65 with last dues payment of $85.00

Please send a small headshot photo if you wish to have your picture on the back of your membership card.

_____I would like information about Aflac Personal Accident Insurance policies

(I understand I will receive a discount as a BWFA Member)

_____I would like to contribute to the Injured Farriers Fund with my tax deductible

donation of $95 per year $______

_____I would like to contribute to the NEHRF with my tax deductible donation of

(any amount) $______

_____I would like to contribute to the FNRC with my tax deductible donation of

(any amount) $______

_____My old card is enclosed.

_____My address and phone number have changed (Complete and update the above contact information)

_____My check is enclosed

_____Charge my Credit Card

(Circle One): VISA   MC   AmEx   Disc

Number:_______________________________Expiration Date:________ Security Code ______

Total Enclosed: _________

_____BWFA Member _____Non-Member

Return To: BWFA Headquarters 14013 East Hwy 136, LaFayette, GA 30728