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2009 PACIFIC COAST PAINT HORSE CLUB
MEMBERSHIP FORM
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| FAMILY MEMBERSHIP $25.00 |
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| ADULTS (FULL NAME) |
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CHILDREN (FULL
NAME) |
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| SINGLE
ADULT MEMBERSHIP $20.00 (NAME) |
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| SINGLE
YOUTH MEMBERSHIP $15.00 (NAME) |
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| ALL
MEMBERS MUST COMPLETE THE FOLLOWING: |
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| ADDRESS: |
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| CITY: |
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| STATE: |
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ZIP: |
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| HOME PHONE: |
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FAX NUMBER: |
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| E-MAIL |
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WEB PAGE |
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| RANCH NAME: |
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It is understood and agreed that the
member(s) forever holds the Pacific Coast Paint |
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Horse Club harmless for all
injuruies to persons and/or damage to property resulting from |
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participation in any activity
convened by the PCPHC and the PCPHC shall have no |
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liability or be held accountable for
any familiarity with the PCPHC bylaws.
Year end awards |
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requirements, meeting times and
places, horse show rules, and all information concerning |
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PCPHC are my own responsilility: |
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SIGNATURE: |
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DATE: |
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PLEASE MAIL THIS FORM TO: |
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Sheri Bevill, Membership Secretary |
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1020 Olympic Way |
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Nipomo, CA 93444 |
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805 929-2171 |
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Please list below those categories
you will be competing for this year.
This in no way |
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obligates or limits you, but will
help the club plan for the end awards and activities. |
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IF YOU WOULD LIKE TO RECEIVE THE
MONTHLY NEWSLETTER VIA E-MAIL IN LIEU OF REGULAR |
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MAIL, PLEASE INITIAL HERE: |
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