Name: _____________________________________________________________

Address: ___________________________________________________________

Phone: ____________________Email Address: ____________________________

AFA# __________________ Certification Level: ____________________________

Counties/Locations Covered: ___________________________________________

Shoeing Areas (example: pleasure horses) ________________________________

__________________________________________________________________

Annual Dues: $50.00 per year (tax deductible) 

Please Make Checks Payable to: MFA

Mail Completed Application and Check to: 

Dean Geis 

Treasurer, MFA 

2464 Marston Road

New Windsor, MD 21776