PAINT HORSE CLUB OF OKLAHOMA Membership Form

PAINT HORSE CLUB OF OKLAHOMA
Affiliated with the American Paint Horse Association
Name
Address
City
State
Zip
Phone
Email
example@example.com
Enter farm name
APHA
NSBA
Membership Level*
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Individual Membership
$25.00 Quantity



Husband/Wife
$40.00 Quantity



Youth
$10.00 Quantity



Credit Card Fee
$2.00 Quantity



Total

$0.00
Youth (18 & under) Date of Birth:
Date of Birth

MonthDayYear
Date
I do hereby make application for membership in the Paint Horse Club of Oklahoma and do agree to abide by the laws and bylaws of the Paint Horse Club of Oklahoma
Areas of Interest

AmateurYouthHalterPerformanceRaceRopingCuttingRanchAll Breed
Signature

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Date

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Date
Cash or Check
Mail to: Libby Koehn 356709 E 740 Rd Cushing, OK 74023
Membership Card Provided on
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