ILLINOIS CLUB LAMB ASSOCIATION MEMBERSHIP

NAME:________________________________________________________________

FAMILY MEMBERS NAMES:_____________________________________________

ADDRESS:_____________________________________________________________

CITY:____________________________________ ,ILLINOIS, ZIP:_______________

PHONE:_________________________________ E-MAIL:______________________

CHECK NUMBER:_____________


DUES ARE $25.00 PER FAMILY

PRINT AND SEND TO:
BARB HARMS
27638 E 2450 N ROAD
LEXINGTON, IL 61753 icla@lcublambpage.com

                                                                       

Alex Ainger - President
  (262) 749-4893
  e-mail: icewe2@hotmail.com

Jon Van Dyke - Vice President		 Barb Harms - Treasurer/Secretary
  (309) 365-3381

Alex Ainger - Youth Awards Program
 (262) 749-4893

Bob Wright - Youth Awards Program
 (815) 689-2609

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