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EMPIRE STATE ARABIAN HORSE ASSOCIATION
www.empirearabian.org
2010 MEMBERSHIP APPLICATION
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A current Arabian Horse Association
Membership with a Competition Card is required for participation
in all AHA Member Programs, including participation in horse
shows as an owner, trainer, handler, rider or coach and for
competing in Distance Rides. |
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New Member 
YES
NO AHA Membership # ____________ |
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Name
________________________________ Farm Name
___________________________ |
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Address
___________________________________________________________________ |
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City, State, Zip Code
_________________________________________________________ |
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E-Mail Address
_____________________________________________________________ |
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Phone Number(s)
___________________________________________________________ |
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Social Security# or Taxpayer I.D.#
______________ Date of Birth ______________________ |
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Please enroll me as an ESAHA member in the selected category: |
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$35.00 Adult Membership (AHA-$25,
ESAHA-$10) |
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$70.00 Adult Membership with
with $35 Competition Card |
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$25.00 Youth Membership (AHA-$20, ESAHA-$5) |
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$50.00 Youth Membership with $25 Competition Card |
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$10.00 ESAHA Club Level only membership
(does not include membership to AHA) |
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Memberships expire one year from the
last day of the month joined. For example, if you join on
12/29/2010, your membership will expire 12/31/2011, or
03/16/2010 will expire 03/31/2011.
Amount enclosed: $______________
Signature ________________________ Date
______________
Please make payment payable to: ESAHA and remit to the Membership Chairperson:
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Lu Ann Berlinski, 265 County Route 46, Phoenix, NY 13136
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We encourage you to join
on-line at
www.arabianhorses.org/membership/Membership_Benefits.asp
It saves time and you can use your credit/debit card!
Be sure to select ESAHA as your club affiliation.
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This
Membership Form has been saved in a .PDF format for
printing. If you do not presently have a copy of
Acrobat Reader installed you may download
a free copy at the Adobe website.
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DOWNLOAD MEMBERSHIP APPLICATION |
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