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

 

 

 

 

louis vuitton outlet michael kors outlet michael kors outlet louis vuitton outlet legend blue 11s legend blue 11s black infrared 6s jordan 11 legend blue louis vuitton outlet jordan 11 legend blue jordan 13 barons louis vuitton outlet jordan 11 jordan retro 11 Nike kd vii Easy Money coach factory outlet black infrared 6s black infrared 6s coach outlet online jordan 11 legend blue jordan 6 black infrared michael kors outlet lebron 11 michael kors outlet jordan 6 black infrared ferrari 14s legend blue 11s black toe 14s michael kors outlet louis vuitton outlet jordan 6 black infrared louis vuitton outlet black infrared 6s jordan 11 legend blue jordan 6 black infrared black infrared 6s black infrared 6s uggs black friday legend blue 11s jordan 6 black infrared louis vuitton outlet louis vuitton outlet michael kors outlet jordan 6 black infrared jordan retro 6 black infrared 6s legend blue 11s cheap jordans black infrared 6s louis vuitton outlet louis vuitton outlet michael kors outlet jordan 14 black toe legend blue 11s jordan retro 6 jordan 6 black infrared beats by dre cheap Nike kd vii Easy Money jordan 13 barons jordan 11 legend blue black infrared 6s beats by dre cheap coach outlet online Legend Blue 11s michael kors outlet jordan 6 black infrared jordan 6 black infrared michael kors outlet jordan retro 11 lebron 12 louis vuitton outlet black infrared 6s louis vuitton outlet michael kors outlet online michael kors black friday jordan 6 black infrared michael kors black friday louis vuitton outlet louis vuitton outlet jordan 6 black infrared