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IRHA Membership Form - 2024
To become an IRHA member please complete and submit the following form.
Your membership fee can be submitted via eTransfer (
pei.reining@gmail.com
) or mail.
Single Membership: $20.00
Family Membership: $30.00
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Email
*
Your email
Name
*
Your answer
2024 IHC Membership Number
*
Your answer
Membership Type
*
Single
Family
Required
Names & IHC numbers of additional family members IF purchasing a FAMILY membership.
Your answer
Address
*
Your answer
Phone number
Your answer
Signature (Type Name Below)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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