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   CENTRAL CANADIAN

HORSE PULLING ASSOCIATION
Membership Form

 

_____   $75.00   Fair board membership

______   $35.00   Participating membership

______   $25.00   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: greerglenna@gmail.com

If you need more info, please contact me.

 



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