/iyak_membership_application

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International Yak Association Membership Application I hereby apply for membership in the International Yak Association. My application will be registered in the name of: ______________________________ All correspondence should be sent to: Street Address: City, State, Zip: Email:

_____________________________ _____________________________ _____________________________

Ranch Name: Ranch Website Address:

Telephone: Cell:

__________________ __________________

_________________________________________ _________________________________________

I hereby apply for: Life membership ($400.00) Annual membership ($60.00) First year free (offered when new applicant buys yaks from IYAK member) I purchased my yaks from: __________________________ Includes free IYAK T-shirt.

Choose size:

S

M

L

XL

2XL

Once accepted as a member of the International Yak Association, I will be issued a membership number that will be used on all registry certificates and related paperwork of the North American Yak Registry (NAYR). A herd identifier of 2 to 4 alphanumeric characters will be placed on all registration papers of animals registered by me and will become part of the permanent identification of registered yaks. I would like my herd identifier to be: _________ (ex. R2, 5Y6, CTJW) Annual memberships are renewable on April 1st and are not prorated. Names of those individuals included in this membership: 1. ________________________________ (Voting Member) 2. ________________________________ 3. ________________________________ Mail to:

IYAK Cynthia Huber POB 27 Hillside, CO 81232 ckhdcr@aol.com

IYAK Membership Application

Office use only: Date: IYAK Membership No. Payment: Initials of Secretary:

rev. 10/10/2010

__________ __________ __________ __________

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