Manitoba Appaloosa Club

Membership Form

FEES HAVE BEEN KEPT THE SAME LOW RATE FOR 2015 TO ENCOURAGE OUR GETTING TOGETHER....

Please print off and send to our Secretary:
   Carol Rea, Site 510, Box 4, RR5, Brandon, MB  R7A 5Y5

Type of Membership:
____  $5 for Youth
____  $10 for Adult
____  $20 for Family (all in same household)

Name: _____________________________________________________

If Family: 2nd Adult: __________________________________________

           Children: ______________________________________________________

                     _________________________________________________________

Mailing Address: _
_____________________________________________________

____________________________________________________________________

Phone(s): ____________________________________________________________

Email:
____________________________________ (email will be our preferred contact method - please use an active account!)

Interests:  ___ showing     ____fundraising    ___ volunteering with club       ___ trail riding     ___ rodeo      ___ 4-H    ___ Breeding

How many Appaloosas do you own: ______

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