Type of Membership: $15 ___ Youth $30 ___ Adult $40 ____ Family (2 adults, up to 3 children)
Name: _________________________________________________________________
If Family: 2nd Adult: ______________________________________________________ 1st Child: _________________________________________ 2nd Child: _________________________________________ 3rd Child: _________________________________________
Mailing Address: _____________________________________________
_____________________________________________
Phone #: ________________________ Email: ___________________________________
Interests: ___ showing ___ fundraising ___ volunteering with club events ___ trail riding ___ rodeo ___ 4-H
Please make cheques out to: Manitoba Appaloosa Horse Club Mail Form and Cheque to: Box 85, Goodlands, MB R0M 0R0 |