COASTAL HUNTER CIRCUIT APPLICATION FOR MEMBERSHIP – 2008


[ ] New Membership [ ] Renewal Membership
[ ] Individual Member – Junior/Senior -$20
[ ] Farm Membership - $30


Name _______________________________________________________
Address______________________________________________________
City ________________________ ST ___________ Zip_______________
Phone Number ___________________ email______________________
Birthdate (juniors)________________________

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Horse/Pony Registration - $15 One time registration fee


Name of Horse _______________________________________________
Breed ________ Age _______ Height _________ Sex ______________

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Horse/Pony Name Change / Owner Change

Previous Name _______________________________________________
 New Name ___________________________________________________
Age ___________ Height _________ Sex _________ Breed _________

Previous Owner_________________________________________________
New Owner (must be current member )______________________________________________________

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Mail Membership forms to Evermore Farm, 8877 Old River Road, Brooklet, GA 30415 Please remember that horse and rider must be a member of Coastal Hunter Circuit for point to count for year end awards. Make checks payable to Coastal Hunter Circuit