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MEMBERSHIP FORM
MINIATURE HORSE
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Heartland Miniature Horse Club Membership Application Form

(membership(s) valid November 1 through October 31 of current year)

 

 

Name _________________________________Spouse _________________________

Farm Name ____________________________________________________________

Youth Member’s Name ___________________________ Date of Birth _____________

Youth Member’s Name ___________________________ Date of Birth _____________

Youth Member’s Name ___________________________ Date of Birth _____________

Youth Member’s Name ___________________________ Date of Birth _____________

Address _______________________________________________________________

City ____________________________________ State ____________ Zip _________

Telephone _______________________________ Cell __________________________

Fax:          ______________________________

Website:  _____________________________________________________________

Email Address: _________________________________________________________

 

*If characters in your email address are hard to distinguish between letters & numbers,

please note so that we have an accurate email address.

 

Family Membership $25 ___________members                                           =_________

Includes family members age 18 or under on, or before, December 1st  of the current competition year. (i.e., children, grandchildren, step children, step grandchildren, nieces, nephews, those under legal guardianship, other relationships as allowed by AMHA and/or AMHR)  Member/Spouse get 2 votes at the annual meeting.

 

Regular/Individual Membership $20 _________members                            =_________

Single Membership gets 1 vote at the annual meeting. ( One vote at the Annual Meeting)

 

Youth Membership(s) $10 __________members                                          = _________

Not included in the Family Membership above.  Age 18 or under on, or before, December 1st of the current competition year.  Must be sponsored by an Adult HMHC Member.

Sponsored By __________________________Youth get no vote at the annual meeting.

 

Send form, with your payment (payable to HMHC) to:

 

Valerie Cuthbertson, 2284 27th Ave. Canton, KS 67428

 

Welcome to the Heartland Miniature Horse Club

www.heartlandmhc.com

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