Kaimanawa Horse Breed Society (New Zealand) -- membership form

Application for Membership

President/Secretary: Isabel Park, 6 Sylvia Way, RD1, Otaki, 5581. khbsi@paradise.net.nz

Please print out, fill in, and send to the secretary.

I have enclosed (cheque):

Ordinary Member $20
Senior Citizen (60+) $10
Minor (14 and under) $10
Life $250
horse registration up to 3 horses $35 (any additional $5 a horse) -- this fee also includes your membership
- Name
- Address
- City
- Province
- Post Code
- Home Phone
- A/H Phone
- Fax
- Email

- Signature

Comments, messages:

Are you registered with any other Horse Society?
If yes, please indicate: