2006 Membership Application

Name:  ______________________________________

If Family or Farm Membership, list additional names:

__________________________________________________________________________________________________________________________

Street Address:________________________________________________

City,State,Zip:_________________________________________________

Phone:_________________________EMail:________________________

Type of Membership (Circle, please):

Individual $20.00          Family or Farm $30.00          Youth $10.00

Make checks payable to K.P.H.C. and mail to: Sharon Ohler

                                                                             325 Cedar Lake Road

                                                                             Versailles, KY  40383

Year End Award Eligibilty  Both the exhibitor and the owner of the horse

Must be members of KPHC to qualify for year end awards.  Free nominations are included as a benefit of your KPHC membership.

Name of horse(s) nominated: _____________________________________________________________

_____________________________________________________________                     

Interested in helping KPHC?  We always need volunteers!  Please indicate your area(s) of interest by checking the blanks below.              

____  sponsorships   ____  newsletter/directory  ____ show planning  ____ awards

____   show help         ____ other _______________________________