MISSISSIPPI PAINT HORSE CLUB
2004
MEMBERSHIP FORM
(THIS FORM VALID ONLY JAN. 1,
2004 THRU DEC. 31, 2004)
$10.00 for first family
member $5.00 for each
additional member
Additional
members must be your spouse, your child (18&U) or someone you have legal
guardianship over.
(Grandchildren, nieces, nephews,
cousins etc must have there own separate membership).
If the additional member is a Youth—they must be 18
or under as of 1-1-2004
MAIN MEMBER:
______________________________________ APHA #:________________ DOB:
____-_____-_____
SPOUSE
(IFAPPLIES)__________________________________APHA#:_________________DOB:_____-_____-_____
Address________________________________________________________________
City__________________________________State
___________ Zip______________
Youth_____________________________Age________
AJPHA# ______________DOB: ____-______-_____
Youth_____________________________Age________
AJPHA# ______________DOB: ____-______-_____
Phone Number
(______)___________________________________________________
E-Mail
_________________________________________________________________
Mail to:
PETE BUCKLEY
P O BOX 1086
PRENTISS, MS 39474
If Membership is not received by end of Dixie National Show your Dixie points will
not count towards MPHC Year End Awards.
NO EXCEPTIONS!!
MPHC MEMBERSHIP IS IN ADDITION TO YOUR APHA
MEMBERSHIP.
MISS. JR. PAINT HORSE CLUB MEMBERSHIP IS IN
ADDITION TO THE REGULAR MPHC MEMBERSHIP. (SEE YOUTH DIRECTOR FOR MJPHC MEMBERSHIP FORM). JUNIOR
MEMBERSHIP IS NOT REQUIRED, BUT YOU MUST BE A MEMBER OF THE MISS. PAINT HORSE
CLUB TO RECEIVE ANY YEAR END POINTS AND AWARDS. YOU MUST BE A MPHC, MJPHC AND
AJPHA MEMBER AND MEET ALL OTHER CRITERIA TO RECEIVE ANY YOUTH RELATED
AWARDS(SCHOLARSHIPS, YOUTH WORLD SHOW FUNDS, YOUTH POINTS,ETC).
IN OPEN CLASSES THE OWNER OF THE HORSE MUST BE A MEMBER OF THE MISSISSIPPI PAINT
HORSE CLUB IN ORDER TO RECEIVE YEAR END POINTS. NO EXCEPTIONS. THE EXHIBITOR IS
NOT REQUIRED TO BE A MEMBER.
Visit our web-site for complete rules & by-laws as well as club info
, show dates, etc.
MPHC WEB SITE: www.MissPHC.com