CENTRAL TEXAS MINIATURE HORSE CLUB
Membership application

 

Name:_____________________________________________________

Second Person in household:___________________________________

Youth Name (s) :____________________________DOB:____________

Youth Name (s) :____________________________DOB:____________

Youth Name (s) :____________________________DOB:____________

Farm Name:________________________________________________

Email:__________________________________

Web site:________________________________

Address:  __________________________________________________

City:_______________________  State:___________ Zip:___________

Phone: _____________________________

Suggestions or Ideas for club:___________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________ 

Membership dues are due 1/1/2012 and good through 12/31/2012

Annual membership is $30.00 Family or Individual ** Youth - FREE

Please print this page and mail, with payment to:

                  Kathy Burns
             3433 Cooksey Lane
             Waco, TX  76706

Make check payable to : CTMHC  

Paypal payments can be made to: CTXMHC@gmail.com    (please add $2.00)