SINCE 1945 - ENSURING HIGH STANDARDS OF GOOD HORSEMANSHIP, SPORTSMANSHIP AND FRIENDSHIP

NEW HAMPSHIRE HORSE & TRAIL ASSOCIATION

Membership Application

Text Box: I HEREBY APPLY FOR MEMBERSHIP IN NHH&TA

NAME	________________________________________________________

		Individual D. O. B. if under 18 ____________

STREET	____________________________________________________

CITY		_______________________  STATE _________  ZIP _________

MAILING ADDRESS IF DIFFERENT

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PHONE 	_____________________  E-MAIL ________________________

	How would you like to receive your Rule Book ?

	___ Paper Copy        ___ CD Copy    ___ I do not want a Rule Book

	Membership Classification					Dues

	___  Individual Membership-if under 18 years		$20.00
		Of age, give date of birth below
	___  Family Membership - includes Husband		$25.00
		Wife and all children under 18
	___  Lifetime Membership for Individual			$150.00

	List all Family Members - Give Date of Birth if under 18 years of age

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	___  I am interested in Horse Shows - List divisions you are interested in

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	___  I am interested in Trail Rides