2008 Pleasure Association Membership

Name:___________________________________________________________

Address:__________________________________________________________

_________________________________________________________________

Phone: ________________________________Email:_______________________________

Member Status:        New _____    Renewal _____

Single:  $10.00 one vote        Family: $15.00  two votes (husband and wife)

If Family membership, please list spouse's name and children's names and ages.

Spouse:_____________________________________

Children:

Name:_______________________________________Date of Birth:_______________

Name:_______________________________________Date of Birth:_______________

Name:_______________________________________Date of Birth:_______________

Areas of interest:
                              Trail Riding_____        Rack Across America_____        Showing:____

Mail to: RHPA, c/o Carolyn Blaylock, 385 County Road 144, Tishomingo, MS  38873