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IFA Membership Application

IFA #
Name
Street Address
Address (cont.)
City
State
County
Zip Code
Home Phone
Cell Phone
E-mail
Web Site
AFA Level

Farrier	Trainer
Veterinarian	Breeder
Supplier	4-H Member
Horse Owner

Regular Membership $35.00

Associate Membership $25.00

Life Time Membership $300.00

I would like to be on a Committee

Print out and send make Check payable to the IFA, and send to: Mike Breen 14741 E. 196th St Noblesville, IN 46060 (765)534-3440