2010 Mid-America
Miniature
Horse
Club
Membership Form
click here to print a pdf version of this form
AND Gazette
Questionnaire
A.
Single/Youth Membership-$15.00 per year. (any age )
____________
B.
Family
Membership - $20.00 per year.
____________
(Two adults and unlimited number of children under age 18,
as of January 1st of the current membership
year).
C. Farm Membership - $30.00 per
year. ____________
(Three adults, unlimited number of children under age 18)
****Add additional adults at $10.00 per person.
__________
2010 MINIATURE HORSE
WORLD GROUP AD $50.00
___________
**********Deadline for inclusion is 1/15/10************
2010 MAMHC Breeders
List (Handed
out at local events)
$5.00
__________
Total Amount Enclosed ________
Payment for the Miniature Horse World Ad & the Breeders List
MUST BE received/postmarked by
January 31, 2010
Member Name: _____________________________Spouse:
_________________
Farm Name:____________________________________________________________
City:______________________________
State:___________ Zip Code: ___________
Home Phone: _____________________________ Work #:_______________________
E
Mail:_________________________________________________________________
Web Site:_______________________________________________________________
List additional names of people on Family or Farm
membership and Youth date of birth
and email:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Make check payable to MAMHC and mail to:
Laura Rothfuss
2312 Oxford Middletown Road,
Hamilton, OH 45013
513-726-6514
Email:
blueprint@fuse.net 513-726-6515
Committees...want to make a difference? We would love to have your
input and help, please sign up for a committee below:
___Highpoint-Chair: Audrey Kerby Shows-Chair:
Debbie Meek
Youth-Chair:
Publicity: Chairman: Libby Rosen
Katie Marshall & Sherry Crowe
Website-Chair: Connie Ballard
Membership-Chair: Laura Rothfuss
Gazette-Chair: Ashley Harris
