#113, 37 Athabascan Avenue, Sherwood Park,  Alberta T8A 4H3
TELEPHONE (780) 416-4990  FAX (780) 416-4860
Membership Form
 
Description place25high.gif (61 bytes) Amount
place25high.gif (61 bytes)
Membership 1 Year (Canadian Resident) formbox20x20close.gif (109 bytes) $42.80
Membership 3 Years (Canadian Resident) place25high.gif (61 bytes)formbox20x20close.gif (109 bytes) $107.00
Membership 5 Years (Canadian Resident) place25high.gif (61 bytes)formbox20x20close.gif (109 bytes) $160.50
Associate Membership (non-horse owner) place25high.gif (61 bytes)formbox20x20close.gif (109 bytes) $42.80
Non-resident Membership place25high.gif (61 bytes)formbox20x20close.gif (109 bytes) $58.85
Lifetime Membership place25high.gif (61 bytes)formbox20x20close.gif (109 bytes) $802.50
GST INCLUDEDplace25high.gif (61 bytes)

THINK LONG TERM   SAVE$$$

Please check one of the above options and return this statement along with the appropriate fee
(certified cheque, money order or credit card).
Please Note: As of January 1, 2001, we are no longer accepting Personal Cheques

Name: ____________________________________________________place25high.gif (61 bytes)
Address: ____________________________________________________place25high.gif (61 bytes)
____________________________________________________place25high.gif (61 bytes)
Phone #: ____________________________________________________place25high.gif (61 bytes)
CAHR ID#: _______________________________ Memb. year: __________
formbox22x22close.gif (115 bytes) Certified Cheque or Money Order Enclosed
formbox22x22close.gif (115 bytes) Please charge the amount checked to my VISA or MASTERCARD.
VISA Card # ____________________________________________________place25high.gif (61 bytes)
Expiry Date: ____________________________________________________place25high.gif (61 bytes)
MASTERCARD #: ____________________________________________________place25high.gif (61 bytes)
Expiry Date: ____________________________________________________place25high.gif (61 bytes)

Signature
____________________________________________________place25high.gif (61 bytes)

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