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Delaware Appaloosa Horse Association

Membership Application

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Delaware Appaloosa Horse Association
          Membership Application 2008

Date________________________Phone#____________________
 
Name_____________________________ApHC#_______________
 
Address_______________________________________________
E-mail___________________________________________
          _______________________________________________
 
IF JUNIOR  MEMBERSHIP, PLEASE LIST EACH JUNIOR'S NAME & ApHC#
 
Junior____________________________ ApHC#_____________
Junior____________________________ ApHC#_____________
Junior____________________________ ApHC#_____________
Junior____________________________ ApHC#_____________
 
Single Adult Membership                              $15.00
Family Membership                                       $25.00
Youth Membership                                        $10.00
 
REGISTERED POINTS ENROLLMENT:
 
Horse___________________     __________________$10.00ea.
           ___________________     __________________
 
N/P    ___________________     __________________$10.00ea.
           ___________________     __________________
 
Youth___________________      ________________ $10.00ea.
           ___________________      __________________
 
Challenged Rider_______________________________
 
EASTERN SHORE HORSE - POINT FORM
 
Horse___________________       __________________$10.00
           ___________________       __________________
 
N/P    ___________________       __________________$10.00
           ___________________       __________________
 
Youth___________________       _________________$10.00
           ___________________       __________________
 
Challenged Rider_______________________________
 
PLEASE INCLUDE A COPY OF YOUR HORSES REGISTRATION PAPERS!!!!!
Complete application and return with appropriate fees to:
 
                       Joanna Haddock
                    24880 Riverton Cut Off
                      Mardela, MD 21837