(Original ironwork by Bob Becker, DVM)

Michigan Horseshoers Association
Membership Form

To use this form, print it out using the "print" function of your browser, complete it, and mail it with a $35 check to the address at the bottom of the form. Thank you.

_________ Check here if address or phone number is new

E-Mail address: ______________________________________________

New____Renewal______Member #_______________________________

Name: ______________________________________________________

Address: ____________________________________________________

____________________________________________________________

Phone_______________________________________________________

Horseshoers: Full time________________ Part Time _______________

Year started shoeing: ___________________

Type of Training

School______________________________________________________

(Name and Location)

Apprenticeship________________________________________________

(Under Whom and Where)

Certified with what Associations_________________________________

____________________________________________________________

What Level of Certification______________________________________

____________________________________________________________

Horseshoers Student_____________________ Blacksmith____________

Veterinarian____________________________ Other________________

____________________________________________________________

Date: _______________________________

Membership Fee: $35.00

Make checks payable to:

Michigan Horseshoers Association
c/o Jennifer Horn, Secretary
9774 S. Shunk Road
Dafter, MI 49724
906-632-3041

Return to the Michigan Horseshoers Association home page.