HRC - Membership Form 2020/2021

The Lippitt Club Inc. Membership Form

www.lippittclub.org
Title*
First Name*
Last Name*
Address (Line 1)*
City*
State*
Post Code*
Farm Name
Registration Prefix
Enter Birthday if youth Member

DayMonthYear
Junior Member, Age (years) as of January 2025
Mobile Telephone Number*
Home Telephone Number
Email Address*
Membership Type*
I want my email address and phone number listed in the directory or literature*

NoYesOther
I wish to donate to the Lippitt Club Inc.

yesnoOther
I wish to donate to the following award.

Lippitt Of The Year AwardAllen's Major AwardNancy Plimpton AwardLippitt Youth Of The Year Award
I wish to donate to the following activity.

ArchivesDirectoryNewsletterLippitt ReportShowsYouthLippitt Historical DVD ProjectStallion Report
Please send my membership card via:*

MailEmailBoth
I wish to receive my newsletter via:*

MailEmailBoth
"In paying my dues, I agree that in applying for membership to the Lippitt Club, I subject myself to the bylaws and policies of the Lippitt Club. I understand that the Lippitt Club expects me to adhere to the following bylaws: To cooperate with AMHA, Inc. in promoting the Morgan Horse: To provide a united voice and effort in support of the Lippitt Morgan: and to promote good fellowship and sportsmanship among Lippitt Club members. I also understand that while goals of the Lippitt Club are to improve, promote and perpetuate the Lippitt Morgan, the Lippitt Club is a member organization which does not seek to dictate to it's members how these goals are met (effective Nov. 2001)*

AgreeDisagree
Members Full Name*
Parent / Guardians Full Name
Date*
Should be Empty:

The Lippitt Club Inc. Membership Form