Membership Application

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Indiana Saddle Horse Association
Membership Application

Name:_______________________________________________

Address:_____________________________________________

City, State, Zip:______________________________________

Home Phone:_______________Work Phone:_____________

E-mail address:_______________________________________

New Member Renewing Member

Single Membership $ 25.00

*Family Membership $30.00

Affiliated Club - Individual $20.00

Affiliated Club - *Family $25.00

List Affiliated Club:

________________________________

*List names and ages of Family members:

_________________________________

_________________________________

_________________________________

_________________________________

Membership includes One Year Subscription to the Hoosier Equestrian. Annual Dues are Payable May 1st of each Year.
Fill in the form above, print and enclose check or money order made payable to: ISHA
Send form to:
Indiana Saddle Horse Association
8679 S. State Road 243
Cloverdale, IN 46120-9696

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