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MEMBERSHIP FORM

You can pay for your membership via PayPal!
Go to the Payment Page for online payment.

Membership year runs from January 1 – December 31.

  Annual:   $25.00
  Family:   $40.00
  Youth:   $15.00
  Lifetime:   $300.00

     
Membership For The Year:  
Name:  
Address:  
City / State / Zip:  
Phone (Day):  
Phone (Evening):  
Phone (Cell):  
Email Address:  
Website:  
     
Would you like a link on the ApRHA Website (free for members)?   Yes
Farm or Ranch Name:  
     

Please indicate the year you would like membership.

Memberships paid prior to December 1 of a given year expire December 31, unless the year of membership is specified on this form.

For example: Membership is paid in August 2003, but membership year indicated on the above form is 2004 – the membership then begins on October 1, 2003 and runs until September 30, 2004. Both owner and rider must be current members at the time of the futurity and derby to compete.

Send completed form and dues to:
Julie Bibeau
611 3rd St
Neola, IA 51559
slidefar@msn.com

   
         
   
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