The Rappahannock Hunt 2016 - 2017 Membership Subscription Form

Name: _______________________________________________________________________________________

Address: _____________________________________________________________________________________

Home Phone: _________________________________________________________________________________

Work or Other Phone: ___________________________________________________________________________

E-mail Address: ________________________________________________________________________________

Family Members: _______________________________________________________________________________

2016 – 2017 Rappahannock Hunt Dues

[   ]   Member/Subscriber – Adult $1300

[   ]  *Member/Subscriber – Family $1850

[   ]   Member – Social – Adult $ 150

[   ]  *Member – Social – Family $ 200

[   ]   Junior (full time student) $350

[   ]   **Limited Hunting - Adult $500

[   ]   **Limited Hunting - Family $800

** Open to subscribers of MFHA Recognized/Registered Hunts, Limited to hunting
     one day per week


*Please List Family Member Names:

______________________________________________________________________________________________

______________________________________________________________________________________________

**Please note the MFHA Recognized Hunt of Limited Hunting Applicant:

 ______________________________________________________________________________________________


Capping Fees

Wednesday $100                                                    Junior (Full time student) $35

Holidays, Weekends, & Bye Days $125     

Autumn Hunting Season Juniors $15 - Adults $50

PLEASE RETURN THIS FORM WITH YOUR DUES PAYMENT

BY SEPTEMBER 2, 2016

Send To:

The Rappahannock Hunt (c/o Karen Raiford - Hon. Secretary), 13850 Shelter Manor Drive,

Haymarket, VA, 20169 or kamraiford@aol.com