IRON OAK                      COMPETITIVE CLINIC & NOVICE DRIVE/RIDE 12 mile Novice Ride, 6, and 12 mile Drives     Saturday, April 24th, 2004

Pre Registration Form:

Name ______________________________________                                                      

Address ___________________________________

City ______________ State ___ Zip ________

Phone: ____________________ email:____________________________

Horse’s name, if applicable:______________________________________________________

Audit and Lunch (no ride/drive)                                    $15     ________ Clinic,Lunch,Ride/Drive                                                $40     ________       Clinic, Lunch, Ride/Drive with new membership          $35     ________

Choose one

             Membership – Individual ($15) Family ($20)                 ________
                        Trailer Fee - if competing                    $5         ________
                        Outdoor Stall Fee - optional                $5         ________
                        Late Registration fee                           $5         ________
                        after April 15, 2004
                                                      Total Payment due             ________

Make check payable to MDDA and return to 
Wes Licht, 2964 Hwy AB, McFarland, WI 53558

Map to Richard Loeb’s farm, N 2346 County Rd J, Lodi, WI