Individual Membership Application
Please print and then fill out the form below including a check for $15.00 made out to the
“International Federation” and mail to the following address:

Val Matteucci
P.O. Box 374
Hicksville, NY 11802
The International Federation would like to welcome you to the sport!

Name: _____________________________________________________________________

Address:____________________________________________________________________

City, State Zip code ___________________________________________________________

Phone: _____________________________________________________________________

Email: _____________________________________________________________________

Place an “x” next to Member or Renewal.
- $15.00 New Member Dues
- $15.00 Renewal Dues
- $25.00 for International Members

I hereby request formal admission to the International Federation of America homing Pigeon Fanciers Inc. and if accepted to membership, agree to be bound by its Articles, Bylaws, Regulations and Conditions as they may now exist or may be subsequently adopted.

Signature: ________________________________________________________________________
Print Name: ______________________________________________________________________