Current Date
Renewal
New Membership
Individual Membership
$30.00 (U.S. Funds)
Adult
or
Youth (under 22 years of age)
Name
Youth please include birth date MM/DD/YYYY/ age
Family Membership
Husband, Wife, and all youth under 22 years of age
$40.00 (U.S.) Funds
Adult
Adult
Please include name and birth date of youth
Name
MM/DD/YYYY (if youth)
Age
Name
MM/DD/YYYY (if youth)
Age
Name
MM/DD/YYYY (if youth)
Age
Name
MM/DD/YYYY (if youth)
Age
Address
Check if your address is different from last year
City
State
Zip
Telephone
Farm Name
E-mail address
Our club depends on the support of its members. Please choose an area in which you
are interested in serving:
Stallion Expo, Lansing
M.J.M.H.A. CLASSIC Show
Michigan All Morgan
Tack Sale
M.J.M.H.A. Fun Show
Newsletter
Fundraiser
Do you show open?
Do you show Carriage/Dressage?
Other
Cash (do not mail cash)
Check payable to M.J.M.H.A.
Do you know anyone who owns a
Morgan and is not a club member? Let
us know and we will send them
information about our club and a
membership form.
Mastercard
Visa
C.C. #
Name
Exp.Date
Address
3 digit security code
Zip Code
Membership form to print
Membership runs from January 1 thru December 31 inclusive
Membership Form
2012
