IRHA Membership Form - 2021
To become an IRHA member please complete and submit the following form.
Your membership fee can be submitted via eTransfer (pei.reining@gmail.com) or mail.
Single Membership: $10.00
Family Membership: $15.00
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Name *
2021 IHC Membership Number *
Membership Type *
Required
Names & IHC numbers of additional family members IF purchasing a FAMILY membership.
Email *
Address *
Phone number
Signature (Type Name Below) *
Submit
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