IMpaca Membership Application

Name  ________________________________________________

Farm Name   __________________________________________

Address ______________________________________________

City State Zip  _________________________________________

Phone______________________Fax_______________________

Email ________________________________________________

Webpage______________________________________________

I (we) are also members of: (check all that apply)

____   AOBA     please include your AOBA number  _______

____   ARI

____   AFCNA

_____ Other affiliate

(voting members must be members of AOBA)

We currently own ____ alpacas

I would like to help this affiliate by serving on the following committees:

Marketing_____                            events______

Education _____                           fiber_______

Show committee_____                 Nominating committee___

In order to become a member of Impaca, please mail this form along with a check for $50.00 made out to IMpaca to the current treasurer below:

Ed Heintz

3535 S. 1000 E.

Woodland Utah  84036