CENTRAL CANADIAN
HORSE
PULLING ASSOCIATION
Membership Form
_____
$50.00 Fair board membership
______
$25.00 Participating membership
______
$15.00 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
Fair Name:
_____________________________________________
Address:_______________________________________________
_________________________________Postal Code ________________
Phone:
_________________________ e-mail________________________
Fair pull
date: ______________________ Start time___________________
Pull prize
money:___________________________________________________
_________________________________________________________________
Fair pull
contact person:____________________________________
Phone:____________________________
e-mail_____________________________
Newsletter
via e-mail: ____ yes ____ no
Date:________________________
If yes, do
you have ____ word perfect or ____ micro soft word?
******************************************************************************
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, RR2, Mountain, ON K0E 1S0
Phone - 613 -
989 - 3595
e-mail:
timteddy@sympatico.ca
If you
need more info, please contact me.
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