Tri State Miniature Horse Club Membership Application
Name__________________________________________________________
Farm Name_____________________________________________________
Address________________________________________________________
City_______________________State________________Zip_____________
Phone_____________________Email________________________________
Website________________________________________________
Children included in Family Membership (Must be Child/Grandchild only)
Name Age as of 1-1-11
______________________________________________________
______________________________________________________
Member Year is January 1st thru December 31st (Note change in By-Laws 10-11-09. You will get two free months in 2010.)
Individual Membership:
$10 (One Vote)
Family Membership: $25 (Two Votes per Family)
Make checks payable to:
Tri State Miniature Horse Club (TSMHC)
Send Application & Check to:
Linda Wise, Membership Chairman
1118 Industry Road
Atwater, Ohio 44201
330-947-4201
wisedaniel@att.net
