Translate This Page

 ISHR MEMBERSHIP APPLICATION

2120 Scotch Hollow Rd., Noel, MO. 64854  /  1-866-201-3098 / 1-417-475-MARE

NAME:_____________________________________________________ DATE:____________ PHONE:______________________

ADDRESS:______________________________________ CITY:_______________________ ST/PROV:__________ ZIP:________

Membership Wanted: Y___  N___      Annual Membership: $10.00 Y___ N___     Lifetime Membership: $100.00 Y___ N___

EMAIL ADDRESS: - Optional: __________________________________________________________________________________

Email Newsletter Subscription (annual):  $8.00 all countries /  (if you do not have email please contact office for price)

Branch(s) In Which You Will Be Registering Horses In:  Paint/Pinto___ Appaloosa___ Pintaloosa___ Other___ None___

TOTAL AMOUNT ENCLOSED FOR ABOVE: $___________________ U.S. FUNDS ONLY PLEASE

PAYMENT:

WWW.PAYPAL.ME/SPOTTEDHORSE

 

Make a free website with Yola