MEMBERSHIP APPLICATION

Name(s):_____________________________________________________

              _____________________________________________________

              _____________________________________________________

Farm Name:___________________________________________________

Mailing Address:________________________________________________

City/Town:____________________________________________________

Home phone:( )_______________________ Fax: ( )___________________

E-mail:_______________________________________________________

Web-site:_____________________________________________________

MEMBERSHIP FEE IS $20.00 ANNUALLY & $10.00 FOR ADDITIONAL FAMILY MEMBERS (SPOUSE, SON OR DAUGHTER).

Membership includes one (1) vote per membership in time of elections or votes.

This Association was formed to promote Clydesdale Horses in Manitoba and is intended to be a family oriented association.

Date:________________________________________

Signature:____________________________________

Please complete & mail to: MB Clydesdale Club
Box 411 Minitonas, MB
R0L 1G0