Mid America Fox Trotting Horse Association

Name:_________________________________________________________

Spouse:________________________________________________________

Children under 18:________________________________________________

Address:_______________________________________________________

City:______________________________State:________Zip:_____________

Phone Number:___________________  Barn/Cell:______________________

 

Please include check:    $15.00 Individual membership
                                    $25.00 Family membership

Send to:
  Mid America Fox Trotting Horse Assoc.
  Attention: Barb Loring
  P.O. Box 726
  Republic, MO 65738