 | Indianhead Miniature Horse Club Membership Form |
| Indianhead Miniature Horse Club Membership Form |
If you wish to join our club, simply print this form, complete and mail to address at the bottom. Thank you!
_____ Enclosed is $15.00 for an Regular Individual Membership (includes a 1 year subscription to the IMHC Newsletter, club information, voting rights, and eligible to hold office - must live in state of Wisconsin) _____ Enclosed is $25.00 for an Regular Family Membership (includes a 1 year subscription to the IMHC Newsletter, club information, voting rights (2 votes), and eligible to hold office - must live in state of Wisconsin) _____ Enclosed is $5.00 for an Regular Junior Membership (includes a 1 year subscription to the IMHC Newsletter, club information, 1 vote - must live in state of Wisconsin) _____ Enclosed is $15.00 for an Associate Individual Membership (live outside of Wisconsin, includes a 1 year subscription to the IMHC Newsletter, club information, voting rights, not eligible to hold office) _____ Enclosed is $25.00 for an Associate Family Membership (live outside of Wisconsin, includes a 1 year subscription to the IMHC Newsletter, club information, 2 votes, not eligible to hold office) _____ Enclosed is $5.00 for an Associate Junior Membership (live outside of Wisconsin, includes a 1 year subscription to the IMHC Newsletter, club information, voting rights, not eligible to hold office) _____ Enclosed is $5.00 - please run my business card in the club newsletter for one year (please provide new card each year and send to the Membership Chair below)
Name(s) Birthdates Name(s) Birthdates _________________________ ___________ _________________________ ___________ _________________________ ___________ _________________________ ___________ _________________________ ___________ _________________________ ___________
Phone:__________________________ e-mail address:________________________________Farm Name:_____________________________________________________________________
Mailing Address:_________________________________________________________________
_________________________________________________________________
_____ New Membership _____ Renewal Make checks payable to: I M H C Mail to: Betty Stenglein, 1441 Evergreen Drive, River Falls, WI 54022
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