THE ASSOCIATION FOR EQUINE DENTAL EQUILIBRATION, INC. Preserving and Promoting a Higher Level of Equine Dental Equilibration

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Annual Subscription To Members

Name:	Business Name:
Street:	City/State:
Zip/Postal Code:	Country:
Home Phone:	Work Phone:
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Public Membership

_____	Individual	$35.00
_____	Ranch, Farm, Barn, Organization, School, Veterinarian	$50.00-75.00 (Range)
_____	Sponser	$100.00
_____	Sustaining member	$250.00
_____	Benefactor	$500.00
_____	Corporation	$1000.00

 

Academy Student and Academy Certified Equine Dentist Membership

_____	PG-1, Practical Grade One (100 hours training)	$50.00
_____	PG-2, Practical Grade Two (200 hours training)	$50.00
_____	PG-3, Practical Grade Three (300 hours training)	$150.00
_____	PG-4, Practical Grade Four (500 hours training)	$200.00
_____	PG-5, Practical Grade Five (1000 hours training)	$250.00

 

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Expiration Date:

 

The undersigned hereby subscribes for membership to a corporation organized under the laws of the State of Idaho, known as ASSOCIATION FOR EQUINE DENTAL EQUILIBRATION, INC. and agrees to pay an annual membership fee as set forth in the schedule defined above. Records of membership shall be issued to the undersigned upon payment for the membership fees, and in a manner designated by the corporation. Membership fees may change from year to year as determined by the Board of Directors of the corporation.

______________________________________________________________ Signature of member                                                           Date

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THE ASSOCIATION OF EQUINE DENTAL EQUILIBRATION P.O. Box 970 Glenns Ferry, Idaho 83623 USA Phone:1-208-366-2315 Fax:1-208-366-2340

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