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Dusty Boots Membership Form
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Print and Mail Today!
Dusty Boots Riding Club Membership Application
DATE:_________________
_________FAMILY-$20.00 (Parents & Family memb. under 18) (Youth
must be uder family membership)
_________SINGLE-$15.00
Please list names as they will be on the entry cards all show season.
NAME:_________________________________SPOUSE:__________________
ADDRESS:________________________________________________________
_________________________________________________________________
CITY:___________________________________STATE:________ZIP:________
PHONE:________________________________
EMAIL:_________________________________
CHILDREN:________________________________BIRTHDATE:__________
CHILDREN:________________________________BIRTHDATE:__________
CHILDREN:________________________________BIRTHDATE:__________
CHILDREN:________________________________BIRTHDATE:__________
Make checks payable to Dusty Boots Riding Club, Inc. and return
application along with check to Dusty Boots Riding Club, Inc.,
P.O. Box 875, Ashtabula, Ohio 44005-0875.
*Membership iincludes N.E.O.H.A. Rule Book and subscription to the
CORRAL" only if paid by March 1
NOTE: THIS DOES NOT INCLUDE HORSE SIGN-UP FEE FOR N.E.O.H.A. POINTS.
©Dusty Boots Riding Club