Please print, fill out and mail.

Lamas of Minnesota Membership Form

Name ___________________________________________________________
Farm Name ______________________________________________________
Address _________________________________________________________
City__________________________ State __________ Zip Code___________
Telephone _________________________ Cell __________________________
E-Mail ___________________________________________________________
Web Site_________________________________________________________

Dues:
$25.00 - Individual ( 1 vote)
$35.00 - Farm ( 2 votes)

Census numbers: Llamas: ____________Alpacas:___________


SUPPORT YOUR LOCAL VETERINARIAN PROGRAM

The $20.00 annual Fee provides a Veterinary listing with your sponsorship in the Directory and each newsletter.
The Veterinarian is also mailed each issue of the Lamas of Minnesota Newsletter.
Each year a veterinarian is sponsored for continuing education in a llama related field.

Veterinarian's Name:______________________________________________
Clinic Name:_____________________________________________________
Address:________________________________________________________
City:______________________________State:___________Zip:_________
Telephone:______________________________________________________


************Total Amount Enclosed = ___________________


Mail To: John G. Porter, Editor
Lamas of Minnesota
1431 19th Avenue
Rice Lake, WI 54868