Tri-Cities Horsemen's Association
Application for Membership

Date:
Type of Membership*:
.Family - $25.00 - includes married and domestic partners and all children under 18 years of age
.Individual Sr.- $15.00 - 18 & Over and not part of a Family Membership
.Junior - $6.00 - 17 & Under and not part of a Family Membership
Please include your age & birthday below
Name(s):.
Address: .
City/Zip:.
Phone (include area code):.
E-Mail .
Children's Names:Ages and Birth Dates:
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How many horses do you own/sponsor?.
Do you have a trailer?.

Special interests, what activities would you like to do as club members, e.g. trail rides, overnights, gymkhana?
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*Membership year runs from June 1st through May 31st. New member's dues are prorated from the month of joining until May 31st. For example: A new family joins in February. Family dues = $25.00/12 = $2.00/month Feb - May = 4 months. $2.00 x 4 = $8.00 due upon joining for current year. Annual dues for next year of $25.00 payable by June 1st.

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