Coachella Valley Horseman's
Association
P.O. Box 10891, Palm Desert, CA 92255
MEMBERSHIP FORM
You may print this form and then complete and mail
it in with your check.
First Name_______________________ Last Name ______________________
Street Address________________________________________
City_________________________________ State_______ Zip __________
Phone (_____) - _________________________
| Type of Membership: (please check one) |
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| [ ] Horse Show Members (horse shows only) [ ] Junior Membership (age 18 & under) [ ] Individual Adult Membership [ ] Family Membership Name of family members: _________________________________ _________________________________ _________________________________ |
$ 10.00 $ 10.00 $ 20.00 $ 30.00 |
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| [ ] Silver Sponsor [ ] Gold Sponsor Memberships expire December 31 each year. |
$ 100.00 $ 200.00 |
Please make checks payable and mail to:
| CVHA P.O. Box 10891 Palm Desert, CA 92255-0891 |