driving
friesians
Membership Application Name________________________________________________________ Address______________________________________________________ E-mail Address _______________________________________________ City____________________________State______ZIP_______________ Phone _______________________________________________________ Type of horse driven____________________________________________ Type of vehicles driven__________________________________________ Membership ( ) $25.00 Names of family members_______________________________________ ____________________________________________________________ ____________________________________________________________ Make check payable to: Black Swamp Driving Club Send completed application to: Jacqueline Minges, Treasurer BSDC, 9048 Summerfield Rd, Temperance, MI 48182 Phone: 734-856-6122 Email: JMinges@hotmail.com
THE NEW ENGLAND REGION/ CARRIAGE ASSOCIATION OF AMERICA
American Friesian Association Please print clearly. Send this completed form and fees to:
American Friesian Association, Route 2, Box 60, Nahunta, GA 31553 • (912) 462-6330 Farm/Company:_______________________________________________________________ Your Name:__________________________________________________________________ Address: ________________________________ City/State: ______________Zip:___________ Phone: _________________________________ Fax:_________________________________ Email:_________________________________Website:_______________________________ Memberships run from January 1st through December 31st • Fee Schedule: All fees are given in US Dollars { } Individual: $40 All households must have an individual or family membership. { } Family: $65
Family memberships available for 2 or more members in a given household (must have same physical address). Please list first and last names of ALL members.
{ } Youth: $15
Youth membership requires one individual membership from an adult residing at the same physical address. To qualify for youth membership individuals must be under the age of 18 on January 1 of the calendar year in which membership is applied for.
{ } Lifetime: $250 Individual membership only. TOTAL FEES ENCLOSED $____________
www.americanfriesianassociation.com • info@americanfriesianassociation.com
International Friesian Show Horse Association PO Box 535, Santa Ynez, CA 93460 Voice: (805) 448-3027 • Fax: (805) 448-3027 thepark@hwy246.net • www.friesianshowhorse.org
NER/CAA Annual Dues: $20.00/Family or Individual Name: __________________________________________________________ Address: ________________________________________________________ City: ______________________State:_________________Zip: ____________
Membership Application Name(s): ___________________________________________________________ Address: ___________________________________________________________ __________________________________________________________________ __________________________________________________________________ Phone:_____________ Alternate Phone: ___________ Mobile Phone: ____________ Email: __________________ IFSHA Membership Number (if renewing):____________
Telephone: (____) _______________ Email:____________________________
USEF Membership No. _________ USDF Membership No. _______ Birth Date (Required for Juniors): ______
Please make checks payable to NER/CAA and send to: Alan Retter, 35 Flagg Rd., Hollis, NH 03049
Membership Type: ❏ Junior (under 18) ❏ Adult Professional* ❏ Adult Amateur** *Professional - compensated for training and/or competition **Amateur - not compensated for any training and/or competition Membership Term - December 1 through November 30: ❏ Junior Annual $30.00 ❏ Adult Annual $45.00 ❏ Adult Lifetime $1000.00 See website for horse membership application and Equine Identity Record form.
Phone: 603-465-2720 • Email: alretter@dsadetection.com
english disciplines New Hampshire Hunter Jumper Association PRESIDENT Chelise Storace 38 Frying Pan Road Stratham, NH 03885
VICE-PRESIDENT Cynthia McLaughlin 109 Lexington Avenue Manchester, NH 03104 603-625-8392
SECRETARY Melissa Barden PO Box 31 Dublin, NH 03444
TREASURER Kelly Hawkins 23 Cobb Meadow Rd Dublin, NH 03444
Northeast Friesian Horse Club Membership Form www.NEFHC.com
❏ Individual Life $150.00 (Membership year Oct. 1 - Sept. 30)
The Northeast Friesian Horse Horse Club invites you to join our club formed because of our mutual admiration of the Friesian Horse. We are an official chapter of The Friesian Horse Association of North American (FHANA) & are organized under their rules & regulations.
❏ Family (2 Riders) $30.00 - Parent(s) & children under 18 (as of Dec. 1, of previous year)
Name: ________________________________________________________
❏ Individual $20.00 per year
❏ Adult
❏ Junior (under 18 as of Dec. 1, of previous year)
❏ Grande Family (3 or more riders) $40.00 - Parent(s) & children under 18 (as of Dec. 1, of previous year) Name ________________________________________________________________ Street ___________________________City/Town _____________________________
Address: ______________________________________________________ Telephone: ____________________________________________________ Email: ________________________________________________________
State _______ Zip ____________ Phone ____________________________________ Date of Birth(s) for children under 18 _________________________________________
Family/Farm Membership: $55.00 • Individual Membership: $45.00 Associate Membership: $35
Make checks payable to: NHHJA
Please make your checks payable to NEFHC & mail to: Cathy Zine, 115 Waterford Drive, Hanover, MA 02339, 781-829-2086
Mail to: Melissa Barden, PO Box 31, Dublin, NH 03444
212, Equine Journal Affiliation Coupons, September 2011
Thank you!