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

 

 

 

 

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