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   CENTRAL CANADIAN

HORSE PULLING ASSOCIATION
Membership Form

 

 

_____   $75.00   Fair board membership

______   $50.00   Participating membership

______   $30.00   Non- participating membership

______   $ ________ Drug testing donation

______   $ ________ Other: ______________________________________________________

 

******************************************************************************

Participating & non-participating members

Name: _____________________________________

Address:________________________________________

              ______________________________ Postal Code___________________

Phone:________________________      e-mail:____________________________

 

Newsletter via e-mail:    ____ yes       ____ no                   Date:_____________________

If yes, do you have ___ word perfect   or   ___ micro soft word?    

 

***********************************************************************

Fair Boards

__   $75.00   Fair Board membership          ___   $ ________ Donation: Drug testing /other

 

Pull Prize Money For Light and Heavy:

1st ______________   6th ______________  Specials: __________________

2nd ______________  7th ______________  __________________________

3rd ______________  8th ______________  __________________________

4th ______________  9th ______________  __________________________

5th ______________  10th _____________  __________________________

 

To each remaining team, with qualifying hitch   $_______________________________________

 

Fair Board Name: ____________________________________________________

 

Address: ____________________________________________________________

 

________________________________________Postal Code __________________

 

Phone: ______________________________ e-mail___________________________

 

Horse pull date: _____________________________

 

Start time __________________  Note: a 15-minute grace period will be allowed

 

Horse pull contact person: _________________________________________

 

Phone: _________________________________ e-mail___________________________________

 

Newsletter via e-mail:   ____ yes     ____ no.        (I use Microsoft word.) 

 

______________________________ agrees to abide by the rules and policies of the CCHPA

             (Name of Fair)

     

Date completed. ___________________ Signature of Authorized Person ________________

 

******************************************************************************

Thank you for supporting the CCHPA.

 

Please make cheques or money orders payable to CCHPA and mail to the Secretary/Treasurer.

Glenna Greer, 10239 County Rd 43, Mountain, ON   K0E 1S0

Phone - 613 - 989 3595 - E-mail: greerglenna@gmail.com

If you need more info, please contact me.

(Rev. January 31, 2019)



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