Indiana Farriers’ Association

 Membership Form   

Please complete and mail this form along with your payment.  If you would like a short Bio included on the IFA website, Please include it with this form. 

 

Date_____________________________  IFA Number _______________________

Certification level ______________________________________________________

Company _____________________________________________________________

Name ________________________________________________________________

Address _______________________________________________________________

City ___________________________ State ____________ Zip __________________

County (required) _______________________________________________________

Home Phone ________________________Work Phone ________________________

E-mail Address _________________________________________________________

Web Site_______________________________________________________________

Chose One:

 Regular Membership $50.00 (Voting rights; includes $10 annual Injured Farrier’s Fund Fee)

 Associate membership $40.00 (Non-voting member)

 Lifetime Membership $500.00 (Includes first year’s Injured Farrier’s Fund Fee)

 Student membership 1st Year FREE  (Include $10 if you want to be in the injured farriers fund, the free membership ends at the end of the calendar year, must include copy of school diploma)

Please make checks payable to IFA:. Mail payment with this form to:                                                                              Mike Breen ∙ 14741 East 196^th Street ∙ Noblesville, IN 46060 ∙ (765) 534-4250

We Can Use Your Help!Can we contact you about helping out? (Don’t forget this is a non-profit organization relying solely on volunteers)                  Yes, I am interested in helping              No, I am not interested at this time