SELECT ALL THAT APPLY, IF NO CHANGES NEED TO BE MADE THEN LEAVE UNCHECKED AND YOUR CURRENT SELECTIONS WILL REMAIN THE SAME AS THEY ARE LISTED NOW.
SELECT ALL THAT APPLY, IF NO CHANGES NEED TO BE MADE THEN LEAVE UNCHECKED AND YOUR CURRENT SELECTIONS WILL REMAIN THE SAME AS THEY ARE LISTED NOW.

Membership dues are $35 per year. This is a 2 part process. Please complete Renewal Application, press SUBMIT. Then Hit “Buy Now” Button and process your payment. Thank you.

You can Pay On Line  using the  following “Buy Now” button.

 

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New or Existing Members who wish to send in their Membership Dues by mail can copy, paste and print then mail in the following form with a check for $35.00.  Made out to: South Eastern Gamebird Breeders & Hunting Preserve Association.

Mail to:

Cheryl Webster
South Eastern Gamebirds & Hunting Preserve Assoc.
P.O. Box 316
Nobleton, Fl. 34661

Website: http://segamebirds.us

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Membership Application

New/Renewal Member Information
(Please Circle New or Renewal)
Or Change of Address/Information Form (Please Circle)
THIS INFORMATION WILL BE USED FOR THE NEW MEMBER DIRECTORY

Name: __________________________________________________

Farm/Preserve Name: ______________________________________

Address: _________________________________________________

City: __________________State: ________Zip Code: _____________

Phone: ____________________ Fax: __________________________

E-Mail: ___________________________________

Website: __________________________________

Check all that are applicable: This is information for the next directory

Producer (P), Kennel Operator (KO), Hunting Preserve Operator (HPO), Supplies/Equipment (SE), Education (E), Sporting Clays/Skeet Operator (SC), Consultant (C), Diagnostic Lab/Regulatory (DLR),

Other____________________________

Types of Birds Raised:

Bobwhite Quail (Q), Chukar (CH), Mallards (M), Pheasant (PH), Wild Turkey (T), Japanese quail (J)

Other______________________

If paying by check, I hereby enclose $35 and make application for membership to the South Eastern Gamebird Breeders & Hunting Preserve Association. The objective of the Association shall be to foster, promote, and protect the game breeder and hunting preserve operator, its allied businesses and activities and to promote and assist in the re-establishment of game. I agree to abide by the Constitution, By-Laws, and Code of Ethics of the SEGB and HPA;, and to further the interests of the Association whenever possible.