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Membership Application
___: New Member ____: Membership
Renewal
Name:_________________________________________________
Family Members Name (if
applicable)*:__________________________________________________
Address:________________________________________________________
City:___________________________ State:_____
Zip:_____________
Home Phone:_________________________ Cell
Phone:__________________________________
Email:____________________________________________
Personal/Farm
Website:__________________________________________________
*Family Membership entitles you to one vote per
family. For each member of a family to receive a vote, each
member of the family must fill out an application and pay dues.
Please enclose a check or money order in the amount of $25 per
membership application and return to:
Kentucky
Quarter Horse Racing Association, Inc.
Ed
Ashcraft, Treasurer
1245 Eden
Shale Rd.
Owenton,
KY 40359 |