Membership Form 2003
Just do control P, print out, fill in and mail to Pat.
Area III Shetland Miniature Horse Club, Inc.
Membership Form
Due now for year 2004:
Membership Fees: Family: $25 Individual: $15 Youth: $5 (17 & under)
Associate $10 (includes newsletter/no vote)
Membership year runs from January 1 to December 31, 2004.
NAME: ______________________________________________________
FARM NAME: __________________________________________________
ADDRESS: ___________________________________________________
CITY:__________________________STATE: ______ ZIP:____________
PHONE: (813) _______-_________ EMAIL: _____________________
Do you own: Modern____ Classic____ Miniature ____
How many: ______ ______ ______
I hereby sign this application and agree to abide by the club’s
constitution and by-laws.
Date: ______________Signature: ___________________________
Please make checks payable to Area 3 Shetland Miniature Horse Club, Inc.
Please send this form and your check to:
Pat Buono
9601 NW 137th Avenue
Morriston, FL 32668
