| Klettafjalla Icelandic Horse Club Membership form for 2007 or NAME______________________________________________________________________ FARM NAME_________________________________________________________________ ADDRESS __________________________________________________________________ TELEPHONE NUMBER_________________________________________________________ FAX _______________________________ EMAIL __________________________________ SIGNATURE_________________________________________________________________ How would you like future information sent? Email US mail Are you a current member of USIHC? Yes _____ No _____ (USIHC membership is not required to be a member of this club) Are you a member of any other USIHC Regional club? Yes_____ No_____ If yes, Club Name _____________________________________________________________ If you belong to more than one club, which club would be your primary, vote casting club? _______________________________________________________________________ Do you own Icelandic horses? Yes______ No _______ If yes, how many?________________ My primary area(s) of interest is/are: competition ______ trail riding ______ endurance riding _____ pleasure _______ breeding ________ other _________ Please describe: a.) What you would like to see the club do? (i.e. sponsor a yearly clinic with an Icelandic instructor; maintain a web site; organize trail rides in different parts of our region; publish a newsletter; etc.) ____________________________________________________________________________ b.) What areas of education (around the Icelandic horse) are you most interested in? ____________________________________________________________________________ c.) Do you have a talent, expertise, interest, etc. that you could contribute to the club? If so, describe __________________________________________________________________ Enclosed Annual dues ~ Individual Membership $15 _______ ~ Family Membership $20 _______ List Family Members_____________________________________________________________________ PRINT this FORM and MAIL TO: Sandy Clouse 1761 Owl Creek Rd. Thermopolis, WY 82443 |