PLHA 2022 Membership Form
Fill out the form below if you wish to pay for your PLHA 2022 membership fees online.  

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Type of Membership *
Name *
Spouse's Name (if applicable)
Children's names if under 18 (if applicable)
Street Address *
City *
State *
Zip *
Phone Number (best number to reach you at) *
Email Address *
I hereby release the Pontiac Lake Horseman’s Association, its membership and officers, of any and all liabilities resulting in physical injury, property damage or personal loss to myself or my family members in connection with any activities sponsored or organized by this Association. I realize that horses can behave unpredictably, and I agree to participate in these activities fully aware of the potential risks involved. *
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