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 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: $12.00 Y___ N___     Lifetime Membership: $100.00 Y___ N___

EMAIL ADDRESS: - Optional: __________________________________________________________________________________

Email Newsletter Subscription (annual):  FREE                                          MEMBER #:__________________

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

(www.paypal.me/spottedhorse OR ask for an invoice to pay)



 

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