Connecticut Horse Council

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Online Membership Application

Note: You *do* need to be doing this on a computer that has email - it *does not* need not be your own computer. All further correspondence will come to to the email account that you enter on this form.

AOL users: Please launch Internet Explorer or Firefox to complete this form. The AOL Browser will not properly submit this membership form.

Instructions: Fill out this form as completely as you can. At the end, click "Submit". This will create an email message with your information in the body of the email. Simply "send" that email, Any questions should be sent to webmaster@cthorsecouncil.org

2007 Membership Application

Membership Classification (Check One)

Individual $20
Student $15
Family $30
Business or Professional $50

Club $30 (1-50 Members, 1 Delegate) Club $40 (51-100 Members, 2 Delegates)
Club $55 (101-200 Members, 3 Delegates) Club $70 (201-350 Members, 4 Delegates)
Club $85 (351-500 Members, 5 Delegates) Club $105 (500+ Members, 6 Delegates)

Note: Club Membership Fee and number of delegates is based on the number of club members. Please submit this form with the main contact name. We will contact you for a listing of additional delegates with name, address, phone & E-mail adresses.

New membership or Renewal

Personal Info

First Name Last Name

Club or Business Name (if applicable)

Address

City State Zip

Phone

e-mail

Please enter your e-mail address again as a confirmation

Number of horses owned

Areas of Interest (Please check all that apply)

Trails Zoning Booth Legislation Trade Show Road Safe
Website Insurance Horse Show Mounted Horse Patrol Education

I would be willing to work on the following committees:

Trails Zoning Booth Legislation Trade Show Road Safe
Website Insurance Horse Show Mounted Horse Patrol Education

I would be willing to phone horsemen in my community for emergency equine issues

Yes No

CHC offers members their choice of a clear CHC window cling or white CHC sticker.

Window Cling or Sticker

If you were referred to join CHC by someone, please enter their name here:

By clicking this box below, I agree that I endorse the Connecticut Horse Council Inc. and its goals:

"The Connecticut Horse Council, Inc. is a nonprofit organization dedicated to serving all aspects of the horse industry in Connecticut. The vision of The Connecticut Horse Council, Inc. is to be recognized as the leader in all issues concerning the Connecticut horse industry. Every Connecticut horseman and those who serve the industry need to be represented when discussions are made regarding the future of Connecticut's horse industry. The council is designed to provide this representation for you. We are an affiliate of the American Horse Council, whose primary concern is to oversee federal legislation, including taxes, which affect the horse industry. A portion of your membership dollars goes toward the struggle to obtain benefits for everyone in the horse industry."

Agree

Please click "Submit" and send the email that is created in your mail program. Please click "Submit" only once.


© Copyright 2003-2006 Connecticut Horse Council, Inc. All rights reserved.