BRQHA MEMBERSHIP FORM

BRQHA MEMBERSHIP FORM
Mail completed form and payment to:
Blue Ridge Quarter Horse Association
Marilyn Hughes
31421 Ramblewood Dr
Meadowview, VA 24361

BRQHA memberships run from August 1 through July 31

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Name

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Address

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City, State, Zip

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County

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Home Phone

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Work Phone

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E-mail address

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Website URL

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Date

PLEASE CHECK ONE:

ANNUAL MEMBERSHIP
INDIVIDUAL	$25.00		FAMILY	$40.00

If applying for a FAMILY membership, list family members.
Amateur Members, please include AQHA Amateur #.
Children 18 or younger as of January, please include Date of Birth.

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