MEMBERSHIP
FORM
LONE STAR PERUVIAN HORSE CLUB
I hereby
make Application for Membership in the LSPHC.
I agree to abide by the by-laws and rules & regulations of the club.
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Ranch Name: ____________________________________________________________________________________________
Name: __________________________________________________________________________________________________
Address: ________________________________________________________________________________________________
City: ______________________________________________________State: _____________
Zip: _____________________
Telephone Number (H) _______________________________________ (W) _________________________________________
I would like the following Membership(s): |
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Please
list in the Membership Directory that our ranch has the following: |
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____ Life Time ($350.00) |
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____ Owner/Breeder ($35.00 per year) |
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____ L.S.P.H.C. Membership |
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___ Horses For Sale |
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____ Aficionado ($15.00 per year) |
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____ S.W.P.H.C. Membership |
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___ Services Provided |
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Signature: ______________________________________________________________________________
Please Print Out This Form,
Complete and Mail with Payment to:
Roberta Ellis
c/o Green Gate Ranch
P.O. Box 237
New Ulm, TX 78950
Please Make Checks Payable to the Lone Star Peruvian Horse Club
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