PALOUSE EMPIRE APPALOOSA CLUB
MEMBERSHIP RENEWAL FORM 2008
NAME :
ADDRESS:
PHONE NUMBER:
E-MAIL:
ApHC MEMBERSHIP NUMBERS-HUSBAND:
WIFE:
CHILD’S NAME & AYA NUMBER:
CHILD’S NAME & AYA NUMBER:
Couple /familymembership dues: $20.00
Single membership $15.00
Make check or money order out to Palouse Empire Appaloosa Club
Send to:
Sheree Black
4102 Sunset Rd.
St. John, WA
99171
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