Southern Miniature Horse Confederation Membership Application
 

Name______________________________________ Spouse_______________________

Farm Name___________________________________ website_____________________

Address______________________________________ E-Mail______________________

 City_____________________________________ State______________ Zip___________

Phone: Home __________________ Cell_________________ Barn _________________

How long in Miniature Horse Business?___________ Number of Minis owned_______

Membership includes:
Husband, wife, and all dependents children under 18 years of age
or
a partnership of (2 adults).

Make check payable to SMHC. Print and complete this form. Mail check and form to:
SMHC % Beth Booker
P.O. Box 1811
Madison, MS. 39130
_______Enclosed is $25.00 for INITIAL or ANNUAL RENEWAL of membership- renewed by January 1, 2010.
This includes one (1) year's subscription to the SMHC Newsletter, voting rights for 2 adult members
with AMHA &/ or AMHR registered horses and your farm listed free on the SMHC website.

___________Enclosed is $30.00 includes late fee- if renewed after January 15, 2010.

_______ Enclosed is $10.00 for a YOUTH MEMBERSHIP- will be valid for 4 years or to age 18.
IF NOT INCLUDED IN THE FAMILY MEMBERSHIP ABOVE

(A youth 18 years and under, not included in family membership above, does not include voting rights)
Youth will receive a copy of the club newsletter and a listing on the SMHC website

Youth name:__________________________________________________________

 Birthday:_____________________________________________________________

 Address:______________________________________________________________ ______