Thoroughbred Niagara

incorporating
Southern Ontario Thoroughbred Association

2010 Membership Application

 




     Name:  _________________________________________________________________________________


      Street/Mailing Address:  ____________________________________________________________________


      City: ___________________________________________________________________________________


      Province: _________________                       Postal Code: ______________


      Phone Number: _______  -   ________  -  ________        email:  ____________________________________



        Membership Type (circle one)          Individual:  $30.00                            Business: $50.00 (includes website ad)




    Membership Fee:  $30/year individual          $50/year business                due March 31, 2010


    Please make cheques/money orders payable to:  Thoroughbred Niagara

    Mail membership form and applicable fee to:

Thoroughbred Niagara,  P.O.  Box 74, Hagersville, ON  N0A 1H0






received by:  ______________________        date:  __________________



  

P