Date___________________________________  for year of _____________________

Are you a current member of the ApHC National Club?    YES?______     NO?______       

Name_________________________________________________________________

ApHC Membership Number #1_____________________    #2____________________

Address_______________________________________________________________

City ___________________________________  State ___________  ZIP ___________

Email Address __________________________________________________________

Telephone Number (with area code) ________________________________________

CHECK Membership desired:   Family $15.00 _________  Adult $10.00 _________  Youth $5.00 ________

For Family Membership, please list ech CHILD'S NAME, ApHC NUMBER (Required) & DATE of BIRTH. 

Any Dependent age 19 OR OLDER as of January 1, must have their own ADULT MEMBERSHIP.

NAME                                                                               ApHC Number                          Date of Birth

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Make all checks payable :  BROKEN ARROW APPALOOSA ASSOCIATION or  B.A.A.A.

Mail COMPLETED application and check to:      Carol Moss

936 Mennemeyer Rd. 

Troy, MO. 63379 

   

IMPORTANT NOTICE: 

For B.A.A.A. Club points to accumulate for Year-End awards, dues must be paid prior to the first show.  Points earned before payment of dues

WILL NOT BE COUNTED!

BROKEN ARROW APPALOOSA ASSOC.