Membership Application Form

Mississippi Hunter Jumper Association

Membership Application Form
Name*

First NameLast Name
Date of Birth (if under 18)

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Cellular Number*
Please list all FAMILY members & birthdates for junior riders.
First Name   Last Name   Date
First Name   Last Name   Date
First Name   Last Name   Date
First Name   Last Name   Date
The Membership Form and payment must be received for the application to be complete. Payment may be made by cash, check, or PayPal (misshunterjumperassoc@gmail.com). MHJA Points Eligibility: Rider and Owner must be members of MHJA at the time of the competition.Year-End Awards Eligibility: Rider (Equitation) or Horse (Hunters/Jumpers) must have completed at one MHJA sponsored show in the applicable year.By clicking the "Pay Now" button, you are submitting your online application and will be re-directed to Paypal to submit your payment. Once we receive your payment, we will contact you about your Membership. Thank you!
My Products
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Individual MembershipAnnual
$41.20

Family MembershipAnnual
$66.95

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
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Mississippi Hunter Jumper Association