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Mid - America Miniature Horse Club

Membership Renewal Form for 2008

Single/Youth Membership-$15.00 per year. ( any age ) ____________

Family Membership - $20.00 per year. ____________(Two adults, 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. ___________

2008 Miniature Horse World Group Ad – $50.00 ____________

Breeders List – This is handed out at events. $ 5.00 _____________

Payment for above advertisements must be postmarked by December 31, 2007
(MAMHC volunteers are not responsible for errors. Please check your ad in the April MHW issue and                       . notify chairperson any errors immediately. AMHA allows us to make corrections one time for the whole group ad.

If postmarked after 12/31/2007, add $5.00.   Total Amount Enclosed $____________

Member Name:_____________________________ Spouse: _________________

Farm Name:____________________________________________________________

Address:________________________________________________________________

City:______________________________ State:___________ Zip Code: ___________

Home Phone: _____________________________ Work #:_______________________

E Mail:_________________________________________________________________

Web Site:_______________________________________________________________

List additional names of people on your Family or Farm membership.                              For youth give date of birth & email:

_____________________________________________ _________________

_____________________________________________ _________________

_____________________________________________ _________________

_____________________________________________ _________________

Send form with check payable to MAMHC to:

Laura Rothfuss - Membership Chairperson

2312 Oxford Middletown Road, Hamilton, OH  45013

Phone: 513-726-6514      Email: blueprintminis@homestead.com