| Membership Form for the Michigan Hackney / ASPC / AMHR Association Name:__________________________________________________________ Address:_________________________________________________________ City:________________________State:_______________________________ Telephone:________________________________________________________ Farm Name:_______________________________________________________ E-mail:____________________________________________________________ Family: ________ Individual:_______Youth________ Cost for Family: $15.00 Individual: $10.00 Youth: $5.00 My Division Hackney______Shetland______Mini Horse_____American Show Pony______ Mail form to: James Bruggink 7136 Homerich Ave. S.W. Byron Center, Michigan 49315 Make checks payable to: Michigan Hackney / ASPC / AMHR Assn. |