MONTANA QUARTER HORSE  ASSOCIATION APPLICATION

_________Renew $35 _______Race $40  _______New Member$35 ______Canada $35 (US Funds)

___________Life $375             Membership Year November 1-October 31

Send Application and Dues to:

MQHA:  Sandy Forbis   4850 Keller Welborn Road    Worden, Mt. 59088

MEMBERSHIP NAME____________________________________________________

(Name should be the same as that on AQHA registration papers)

ADDRESS__________________________________________________________________________

CITY___________________________STATE________________________ZIP__________

PHONE______________________________FAX___________________

RIDE '2000 REGISTRATION

NAME__________________________________

ADDRESS_______________________________

CITY__________________STATE_______________ZIP_________

DAYTIME PHONE______________________________

EVENING PHONE_______________________________

PLEASE REGISTER ME FOR THE FOLLOWING:

  TRAIL RIDE, CAMPFIRE, MEALS, DANCE 

                        NUMBER                     FEES                 TOTAL              

ADULTS    ____________                     $100.00                        ______________

CHILDREN UNDER 15_______         $  75.00                         _______________

SENIOR CITIZEN___________           $75.00                           ______________

GROUPS OF FIVE OR MORE

ADULTS_______________                     $75.OO                          _____________

CHILDREN UNDER 15________         $60.00                          ______________

SENIOR CITIZEN____________          $60.00                         ______________

FRIDAY NIGHT CAMPFIRE                      $5.00

DINNER & ENTERTAINMENT ONLY        $30.00

              ENTERTAINMENT ONLY                             $10.00

TOTAL ENCLOSED                                         $______________