VPHC & VJPHC 2020 membership form
NOTES: 1)For a membership to be considered effective, payment must be received. Address to mail the payment is listed at the bottom. 2)To participate in the VPHC election and to receive up to date info on VPHC and APHA in periodic News Notes and Newletters, you must supply an email address.
If you’d like to pay your 2020 VPHC or VjPHC membership online, you can do so at the following link: http://www.virginiapainthorseclub.org/membership.html
*Family membership is limited to 2 spouses and any minor children residing at same address.

Rates for membership payments are as follows:

VPHC Individual $25(PayPal $26) / after March 31 $30(PP$31) VjPHC annual $15(PP$16)/ after March 31 $20(PP$21)
VPHC Family $40(PP$41.50)/ after march 31 $45(PP$46.50 VjPHC term(expires 12/31 of 18 yr old yr)$50(PP$52)
TRAINER-if you wish to pay for your trainer using the same form $25(PP$26)/after March 31 $30(PP$31)
NAME & APHA ID#:
Your answer
ADDRESS:
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PHONE#:
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EMAIL-personal and farm:
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TYPE of MEMBERSHIP:
PLEASE LIST YOUTH MEMBERS: name, DOB, AjPHA#
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Please make checks payable to VPHC Mail to: Jennifer Johnson PO Box 5 Drewryville, VA 23844 jdjohnson63@msn.com vphconline@gmail.com
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