Join the BFA

Print this application and mail it to the address below
or take it to one of our regular meetings (See Calendar).


Name: ________________   ____     ______________________________ 
           First         M.I.             Last                           


Address: _______________________________________________________



City: _________________________  State: _________ Zip: _________



Home Phone: (_____)  _____  -  ________   
              A-C


Date of Application:  ____/____/____



Lifetime membership $1 ... Decal $2 (optional)

Make check payable and send application to:

BFA of Northern Illinois
P.O. Box 212
Peru, IL  61354