I hereby make application and enclose $________ for membership during the year____ January1st to December 31st Date:____________
Name:_____________________________________
Address:___________________________________
Zip
Code:________________ Tel:_________________E-Mail:_________________
Individual Membership = $5.00
Family
Membership =$10.00 (Includes Parent(s) and all children under 18.)
List all persons under 18 that are included
in a family Membership and dates of birth.
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
How
did you hear about us? ___________________________________________
Please make checks payable to White Mountain
Riding Club, and mail application and checks to:
Beverly Pellitier Treasurer W.M.R.C. Rte.35 Littleton,N.H.03561
