Forks of the Delaware Historical Arms Society, Inc.
MONTHLY MEETING THIRD SUNDAY OF THE MONTH


APPLICATION FOR MEMBERSHIP
 
This form requires signatures. Simply fill in the online form, PRINT the form, get signatures on lines provided and return to F.D.H.A.S. Post to:     F.D.H.A.S         3491 Linden Street         Bethlehem, PA 18017
Please fill out the following details:
Date: --
Last Name:    First Name:    Middle Name:
Address:    How Long?
City:    State:    Zip:    Phone: --
Date of Birth: --    Place of Birth:    U.S. Citizen? Yes   No
Are you an N.R.A. Member?    Annual?    Life?    Other?
What type of arms are you interested in collecting?

I certify that I am not prohibited by the provisions of Chapter 44 of Title 18, United States Code, or Title VII of the Omnibus Crime Control and Safe Streets Act of 1968 from receiving a firearm in interstate commerce. I will, if admitted to membership, abide by the Constitution and Rules of the Society. I understand I am not entitled to the benefits and privileges of the Society until I have been admitted to membership, and have received my membership card.

Applicant's Signature: ______________________________________________________

SPONSORS - WARNING - YOU MUST BE A MEMBER OF FORKS OF THE DELAWARE WEAPONS ASSOCIATION FOR AT LEAST ONE YEAR TO BE A SPONSOR. SPONSORING AN UNDESIRABLE MEMBER MAY COST YOU YOUR MEMBERSHIP.

SPONSORED BY: (2 MEMBERS REQ'D.)
We hereby certify we know the above applicant personally--to the best of our knowledge he has no criminal record or in no other way violates The Gun Control Act of 1968.
Signature:_____________________________    I have known applicant for years.

Name:    Street:    City:    State:    Zip:
Signature:_____________________________    I have known applicant for years.

Name:    Street:    City:    State:    Zip:


PLEASE REMEMBER THAT THIS IS THE ONLY TRUE CLUB IN THE LEHIGH VALLEY - HAVING BEEN INCORPORATED BY THE NORTHAMPTON COUNTY COURT IN 1961.

Dues:   1 year - $20.00
             5 year - $90.00
F.D.H.A.S
3491 Linden Street
Bethlehem, PA 18017