NORTH STAR GAITED HORSE CLUB
Membership Application
Single Membership: $20
Family Membership: $25
Membership runs from January 1, to
December 31.
(Website: www.northstargaitedhorseclub.com)
Make Checks payable to North Star Gaited Horse Club
and mail to:
Jay Jones
N5059 Valley Road
Shawano, WI 54166
Name:
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Farm/Ranch Name:
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Address:
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City:
___________________________________________State: ____Zip:______
Home Phone:
_______________________________________ Fax: ______________
Cell Phone:
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Email:
_______________________________________________________________
Webpage:
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Please select Membership type (check
one):
Single New Member: __ Cost: $20
Family New Member:
__ Cost: $25
Renew Single Member:
__ Cost: $20
Renew Family Member:
__ Cost: $25
Please check all that applies:
Horse owner: __ Number of horses: __
Breeder:
__ Horses for sale: __
Stallion at Stud: __ Training: __
Lessons: __ Boarding: __
Breed of Horse:
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Signature:
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Date:
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