All Membership Types Fill In This Section
Name #1
Address
City
State   Zip
Home Phone
Office Phone
Cell Phone/Pager
Fax
Occupation
Email

Farm Information
Are you interested in hosting events/clinics?  Yes  No
Farm Name
Same address as home    Same phone as home
Address
City
 State   Zip
Phone

Applicant Involvement (Inv) and Interest (Int) Survey
Disciplines  Inv   Int  English Dressage    Hunt Seat    Saddleseat    Side Saddle    Western    Showing Hunter/Jumper    Eventing    Endurance    Comp. Trail    Driving    Dressage    Combined    In-Hand    Fun Pleasure Riding    Pleasure Driving    Trick Training    Costume    Charger Training	Disciplines  Inv   Int  Training Longeing/Long Lining    Natural Horsemanship    Breeding Stallions    Mares    Pedigrees    Foal Training    Equine Health Farrier    Massage    Alt. Therapies    Nutrition    Conditioning    Equine Dentist    Colic Prevention    OCD Prevention    Grooming    Other Interests

Family Membership Applicants Only
Name #2
Office Phone
Cell Phone
Fax
Cell Phone/Pager
Occupation
Email

Horse Information for Individual/Family Memberships
Horse Name
Horse Reg. #
Registry