Print and complete form. Mail with fees to address listed below. | ||
Southern California Peruvian Paso Horse Club ~ P.O. Box 906 ~ Norco, CA 91760 Application for Membership |
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I hereby make application for membership in the Southern California Peruvian Paso Horse Club. I agree to abide by the rules and regulations of the club. Annual dues in the correct amount are enclosed. | ||
__________ O/B Membership $25.00
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__________ O/B Family Membership $30.00
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__________ Aficionado Membership $20.00 __________ Aficionado Family Membership $25.00 __________ Aficionado Junior Membership $10.00
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Name ____________________________________________________________________________ |
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Address ___________________________________________________________________________ |
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City ___________________________________ State __________________ Zip_________________ |
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Phone ____________________________________________________________________________ |
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E-Mail Address _____________________________________________________________________ |
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Web Page Address __________________________________________________________________ |
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Name of Horse ______________________________________________________________________ |
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PPHRNA Registration No. ____________________ or AAOBPPH Registration No. ____________________ |
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