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Membership Form
ICLA DUES -- NEW MEMBER
(please print all information clearly so e-mail can be used)
Name:_________________________________________________________
Flock
Name:____________________________________________________
Address:__________________________________________________________
City:_____________________________________ Zip:____________________
Home phone
number:______________________________________
Cell phone
number:____________________________________
E-mail
address:__________________________________________________________
Would you be interested in having a bred ewe sale in the fall of 2009?
Yes____ No___
Mail this sheet with your check for $25.00 for 2009 dues to
ICLA
c/o Duane Sprouse
PO Box 43
Keota, IA 52248 |
