Tri State Miniature Horse Club Membership Application

Name ____________________________________________________________________________

Children Names (if applicable)___________________________________________________

Farm Name_______________________________________________________

Address__________________________________________________________

_________________________________________________________________

City___________________________________  State______Zip_____________

Phone______________________ Email________________________________

Individual membership $10 per year (One Vote)  Family Memberships $25 per year (Two Votes)

Membership Year is November thru October. Make check payable to The Tri State Miniature Horse Club and send to:

                        

                        Linda Wise

                  

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330  947-4201

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