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MEMBERSHIP FORM

Membership year runs from January 1 – December 31.

  Annual:   $25.00
  Family:   $40.00
  Youth:   $15.00
  Lifetime:   $300.00

     
Membership For The Year:  
Name:  
Address:  
City / State / Zip:  
Phone (Day):  
Phone (Evening):  
Phone (Cell):  
Email Address:  
Website:  
     
Would you like a link on the ApRHA Website (free for members)?   Yes
Farm or Ranch Name:  
     

Please indicate the year you would like membership.

Memberships paid prior to December 1 of a given year expire December 31, unless the year of membership is specified on this form.

Send completed form and dues to:
Julie Bibeau
611 3rd St
Neola, IA 51559
slidefar@msn.com

   
         
   
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