New Members

Hernando County Freebooters, Inc.

Membership Application

I hereby apply for membership in the Hernando County Freebooters, Inc., and agree, if elected, to abide by the by-laws and standing orders of the organization, and acknowledge receipt thereof.

First Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
Sponsor:
If you would like for one significant other to participate in the krewe, please provide a name and email address:
Significant Other Name:
Significant Other Email:

	Currently Unemployed
Occupation:
Firm Name:
Firm Address:
Firm City:
Firm State:
Firm Zip:
Firm Phone:
I have read the Hernando County Freebooters By-Laws, and agree to pay such fees and assessments as may be required for my membership as indicated below:
	Embroidered Krewe vest (approximately $100.00) $200.00 annual dues (one person) $100.00 additional person (significant other)
* Note: Our fiscal year runs from October 1^st to September 30^th. Dues follow our fiscal year.