Mid Iowa Driving
Newton, IA 50208
United States
midiowad
NAME_____________________________________________________________ SPOUSE_________________________________________________
FAMILY MEMBER(s) LIVING AT HOME________________________
FARM OR RANCH NAME___________________________________
BUSINESS NAME ________________________________________
ADDRESS ______________________________________________
CITY ___________STATE ____ZIP (9-DIGIT)_______________
PHONE _____________________________
CELL _______________________________
E-MAIL___________________________________________________________
TYPE OF HORSE/EQUINE_________________________________
INVOLVED IN: SALES___________ OR COLLECTION OF (LIST YOUR INTERESTS)___________________________________
Other organizations we are involved in: _______________________________________________________
Check all that apply:
(H) Horses __ (P) Ponies __(M) Mules __ (MN) Mini __(ML) Multiples ___ (BGY) Buggy ___IMP) Implements ___ (TK) Tack ___ (F) Farm ___ (HR) Harness ___ (RP) Repair __(SS) Stud Service __ (TR) Training __ (BD) Boarding __(WD) Weddings or ride service ___
(JG) Judging ___ ( R) Restoration ___ (DL) Driving Lessons ___ (RL) Riding Lessons ___DS) Driving Shows ___ (PR) Parades ___
Our home is available for:
MEETINGS ___DRIVES/RIDES___
We would like to host a drive Yes__ NO __What month?__________
We would like to host a meeting: Spring Membership ___
Fall Membership____ or December Christmas ______
What activities would you like the club to do or see? _______________________________________________________
Mail your $10.00 Membership dues for family or individual by December 31st to:
ATTN: Mid Iowa Driving Association Sec-Treas.
Carol Kaisand
2126 N 59 Ave W
Newton, IA 50208
**If unable to print, contact us and we will mail you an application. **
Mid Iowa Driving
Newton, IA 50208
United States
midiowad