NAME: ........................................................................................................................................
STREET/TOWN: .........................................................................................................................
Postcode................................. PHAA/AQHA Membership
No...............................................
Phone No:........................................................ Mobile:
..............................................................
email address:................................................................
Web site (if
applic)..............................................................
I hereby agree to be bound by the rules and regulations of the Victorian Paint Horse Association
(signature of
applicant)...........................................................................(date)..............................
|
If Family or Couple Membership, please list all applicants |
| 1 |
............................................................................................ |
| 2 |
............................................................................................ |
| 3 |
............................................................................................ |
| 4 |
............................................................................................ |
| 5 |
............................................................................................ |
