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 NEPHC Membership Form
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Email *
Membership Type *
First Name *
Last Name *
Mailing Address *
City *
State *
Zip Code *
Email *
Phone Number *
Membership #
Clear selection
Youth Date of Birth
MM
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DD
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YYYY
PAC - Open Show Program Annual Fee (Per Horse/Rider) $15
*
Horses that will compete in PAC
Sponsor a Class $50 *
Class(es) I would like to sponsor
Do you have an area of expertise that you would be willing to help the club with? (i.e., marketing, web design, sales, etc.)
May we share your mailing address with NEPHC sponsors?
*
Method of Payment *
Amount Paid *
Date payment was made *
MM
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DD
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YYYY
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