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Northwest Paso Fino Horse Association
2007 thru 2008

We look forward to your membership and hope you will enjoy our events this year. You will receive a Membership Card, which will contain your name, address, and expiration date.

Please print and complete the following:

Name:_______________________________________________________________________

Address: ____________________________________________________________________

City: ____________________________________________State: _________ Zip: _________

Phone: _________________________ Fax: __________________Cell#:__________________

Email: ______________________________________________________________________

Annual membership is from November 1st to October 31st each year.
Please check appropriate box and mail corresponding payment to address below. Thank you.

_____ 1-Year Individual Membership . . . . . . . . . . . . . . . . . $25.00

_____ 3-Year Individual Membership . . . . . . . . . . . . . . . . . $65.00

_____ 1-Year Family Membership . . . . . . . . . . . . . . . . . . . .  $40.00

_____ 3-Year Family Membership . . . . . . . . . . . . . . . . . . . .  $110.00

_____ 1-Year Youth Membership . . . . . . . . . . . . . . . . . . . .   $15.00 (ages 17 & under)

Please make payments out to: Northwest Paso Fino Horse Association (NWPFHA)

And mail to:

NWPFHA Treasurer
8010 Stone Oaks Court
Gladstone, OR 97027

LIABILITY RELEASE: Must be signed, each year, by all members age 18 years and older.

I assume all liability from any causes whatsoever in connection with Northwest Paso Fino Horse Association, hereinafter called "this nonprofit organization" and I release this nonprofit organization and its directors, officers, employees, agents, and volunteers from all liability from any cause whatsoever in connection with this nonprofit organization.

Signature: ________________________________________________

Date:         _______________________

Signature: ________________________________________________

Date:          _______________________
 

Thank You for Your Membership!