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| IApHC dues are payable to the Club Secretary. Please make your checks payable to: Intermountain Appaloosa Horse Club (IApHC). | ||||
| Mail To: | ||||
| Family Dues | $20.00 | Two (2) Votes | New Member ___ | Debbie Morris |
| Single Dues | $10.00 | One (1) Vote | Continuing Member ___ | 6527 Derek Ln |
| IARA Dues | $10.00 | One (1) Vote | Idaho Falls, ID 83401 | |
| Last Name | ____________________ | First Name ______________________ | ||
| Spouse's Name | ____________________ | |||
| List Minor Member's (<18 Years Old) Names and Birthdates for the Points Secretary | ||||
| ______________________________ | ||||
| ______________________________ | ||||
| ______________________________ | ||||
| Mailing Address, Please include Zip Code | Telephone Numbers | |||
| ______________________________ | Home ( ) _____________________ | |||
| ______________________________ | Work ( ) _____________________ | |||