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SOUTHERN REGIONAL PASO FINO HORSE ASSOCIATION
Membership Application

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All Paso Fino owners, breeders and trainers are invited to join

Southern Regional Paso Fino Horse Association
Membership Application
___New Membership ____Renewal Membership
Name:______________________________________
Address:___________________________________
___________________________________________
Home PH:_______________________
Farm PH:_______________________
Fax:_______________________________________
Email:______________________________________
Membership Type
Are you listed as a SRPFHA member with
PFHA?___

___Individual Membership (18 yr +) ...$15.00
___Associate Membership ...$10.00(non PFHA members or PFHA voting members with another region)
___Junior Membership (under 18 yr) ...$ 5.00
___Family Membership ...$25.00 (includes husband, wife and juniors in same household)
....Name:_________________________PFHA#______
....Name:_________________________PFHA#______
....Name:_________________________PFHA#______
....Name:_________________________PFHA#______
Do you want your name and ph. number listed in our membership directory? _______
Do you want to list your occupation and business in our newsletter? ______
Occupation:___________________________________
Company:______________________________________
Address:______________________________________
PH:___________________________________________
Would you like to join our committees?
Check you choices.
_____Parades and Promotions
_____Membership
_____Trail Rides
_____Meetings
_____Clinics
_____Show
Would you like to hold an office?_____ Office:____________


Print out this form, complete and return

Make checks payable to:Southern Regional PFHA
and return with form to:
Lorelei Kendziora, Treasurer
11760 NE 14th Ave Anthony FL 32617-9576

Questions?

Blue Tumbling E-Mail Stamp

email Lorelei here

Contact us about coming to our next meeting, as a guest or a new member. We'd love to have you...

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SRPFHA