| Name of Horse(s):
______________________________________________________________________ |
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| Name:
_________________________________________________________________________ |
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| Address:
_____________________________________________________________________ |
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| ___________________________________________________________________________________ |
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| Postal
Code: __________________________________________________________________ |
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Please refer to our current fee schedule for Member and Non-Member fees
Please enclose payment.
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| _____ |
Certified Cheque or Money Order Enclosed
(Please Note:
Personal Cheques are no longer accepted) |
| _____ |
Please charge the amount circled to my VISA or MASTERCARD. |
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| VISA Card # |
____________________________________________________ |
| Expiry Date: |
____________________________________________________ |
| MASTERCARD #: |
____________________________________________________ |
| Expiry Date: |
____________________________________________________ |
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Signature |
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