MIDWEST APPALOOSA HORSE ASSOCIATION MEMBERSHIP APPLICATION
NAME:
____________________________________________________ ApHC #
___________________
ADDRESS:
_________________________________________________ PHONE # __________________
CITY: ____________________________________
STATE: ______________ ZIP: __________________
E-MAIL ADDRESS:
____________________________________________________________________
WEB SITE ADDRESS:
__________________________________________________________________
SPOUSE’S NAME:
___________________________________________ ApHC # ___________________
CHILD NAME:
______________________________________________ ApHC # ___________________
CHILD NAME:
______________________________________________ ApHC # ___________________
CHILD NAME:
______________________________________________ ApHC # ___________________
Annual
Membership Fee:
January 1, 2006 - 31 December 2006
$20.00
per family or single (19 and over)