United States Icelandic
Horse Congress
38 Park Street
Montclair, New Jersey 07042
(973)783-3429
(973)783-0777 (fax)
NOTE: Please return this form to:
Betsy Covert, Treas.
USIHC
Flying C Ranch
1515 Edison Street
Santa Ynez, CA 93460
Date:
Name:
Address:
City:
State:
Zip:
Phone:
Do you own an Icelandic Horse: [ ] Yes [ ] No
Interest:
- [ ] Pleasure Riding
- [ ] Competitions
- [ ] Driving
- [ ] Breeding
- [ ] Other
Type of Membership
________Individual ($35/year)
________Family ($60/year, including children 17 and under)
________Farm Listing ($110/year plus fee for membership)
For those farms/persons wishing to have their name included in the information package sent out by USIHC in response to requests for information about the Icelandic Horse.
Please indicate how you would like to be listed on the Farm List:
Farm Name:
Owners:
Address:
City/State/Zip:
Phone:
Fax:
Email Address:
Website Address:
Total Enclosed:
Please send check or money order (do not send cash) made payable to: USIHC. Please print out this form, complete it, and send with your payment to Betsy Covert, Treas., USIHC,
Flying C Ranch, 1515 Edison Street, Santa Ynez, CA 93460.
We do not accept Canadian checks. All non-US memberships must be sent in US Dollars by US Traveler's checks.
