South East Hunter Association, Inc. Elaine Fernandes-Powers PO Box 455 Halifax, MA 02338 Email at: fernandespowers@aol.com Name: Birthdate: Address: Age: City: Phone: State: Zip: Amateur Please Indicate: 18-35 Over 35 Horse Name: Contact Email: I hereby apply for membership for the year: 2006 2007 2008 2009 2010 Please choose Membership Type: Individual $30.00 Family $40.00 Life $150.00 Corporate (Farm) $75.00 Life (Farm) $250.00 Please list names to be registered for family membership with birthdates for juniors: Name: Birthdate: Name: Birthdate: Name: Birthdate: Name: Birthdate: Please fill out form, print and mail to: Elaine Fernandes-Powers PO Box 455 Halifax, MA 02338 with payment enclosed.
South East Hunter Association, Inc.
Elaine Fernandes-Powers PO Box 455 Halifax, MA 02338 Email at: fernandespowers@aol.com
Please fill out form, print and mail to:
Elaine Fernandes-Powers PO Box 455 Halifax, MA 02338 with payment enclosed.
