Applicant Name: ____________________________________________________
Address: ____________________________________________________ ____________________________________________________Telephone: ____________________________________________________E-mail: ____________________________________________________Cell Phone: ____________________________________________________ Membership fee $60.00 per person. Family $75.00 includes up to three
children under the age of seventeen. Any additional children $5.00 each.
Active military $40.00 per person. Family $60.00 includes up to three
children under the age of seventeen. Any additional children $5.00 each.
Family members (included in membership)
Relationship Name Birth Date
_________________________________________________________________ _________________________________________________________________
_________________________________________________________________ _________________________________________________________________ Please make checks payable to: A.H.F.A.C.. Sorry no credit cards accepted. Enclose funds and mail to:
Archer’s Haven
2653 Westover View
San Antonio, TX, 78251
Signature_____________________________ Date__________________
