 |
||
Hosted by |
Updated 02/04/01 Copyright
1997-2000 |
2004 HLA Membership Dues
Hoosier Llama Association Membership Application
Membership Fee: $25.00 Annually
___ New Membership
___ Renewal
Membership
1st LAST NAME ___________________________ 1st FIRST NAME ___________________________
2nd LAST NAME ___________________________ 2nd FIRST NAME __________________________
FARM or BUSINESS NAME (optional) ____________________________________________________
STREET or ROAD ADDRESS ___________________________________________________________
CITY _____________________________________ STATE __________
NINE (9) DIGIT ZIP CODE _____________ - _________
PHONE # 1 (_____)_______________ PHONE # 2 (_____)_______________
email ADDRESS: _________________________________________
URL ADDRESS: _________________________________________
HLA DIRECTORY on the INTERNET: INCLUDE
EXCLUDE
OUR LISTING _____
OUR LISTING_____
(You need not have internet access to be listed on the internet directory.)
LLAMA CENSUS: females: _____
males: _____ geldings: _____
ALPACA CENSUS: females: _____
males: _____ geldings: _____
GUANACO CENSUS: females: _____ males: _____ geldings: _____
Number of additional HLA Membership Directories____ X $5.00 = $ ____ + $25.00 = $ ______ remitted.
Mail application and Check or Money Order payable to the:
Hoosier Llama Association
(HLA)
c/o Joanne Tuffnell
1390 N. 1200 E.
Sheridan, IN 46069
Need help in a hurry? Call them at (317) 769-5553
HLA membership dues are due on a calendar year basis.
Instructions: Print form on your local printer and send to address listed with dues.
|
||
| Hosted by |
Updated 02/04/01 Copyright
1997-2000 |