The Pleasure Horse Club of Central Jersey

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2015 MEMBERSHIP APPLICATION

 

 PLEASURE HORSE CLUB OF CENTRAL JERSEY

  MEMBERSHIP APPLICATION

 MEMBERSHIP:    Individual ($10/year) ___     Family ($20/year) ___

 

NAME:             _____________________________________________________________                                                                
(Please Print)

ADDRESS:          ___________________________________________________________

                       ___________________________________________________________

EMAIL:             ___________________________________________________________

HOME PHONE:   __________________________________________________________

CELL PHONE:   ___________________________________________________________                                       

Western Rider ____    English Rider ____    Carriage Driver ____   Horse Enthusiast _____
                                                                                                     (do not own a horse)

Return completed membership form along with check or cash to Betty Bailey.  If sending by mail, checks should be made out and sent to:

Pleasure Horse Club of Central Jersey
Attention: Membership
P.O. Box 711
Clarksburg, NJ  08510

 Please Note:  Any new member (Individual or Family) joining after September 1, 2014 will have their membership extended through December of 2015.

 PLEASE MAKE SURE TO FILL OUT, SIGN AND DATE RELEASE OF LIABILITY WAIVER.