East Coast Buckskin Horse Association

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2022 Membership Form

Email *

Select Membership Type

$10: Youth (18 and under as of January 1)

$20: Individual (19 and over as of January 1)

$30: Family (Includes 2 adults and youth 18 and under

$100: Individual Lifetime

$0: Existing Lifetime Member

Sponsor

Other:

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Rewards Program Registration

$20 1 Horse-One time Program Fee

$40 2 Horses-One Time Program Fee

$60 3 Horses-One Time Program Fee

$80 4 Horses-One Time Program Fee

$100 5 Horses-One Time Program Fee

Other:

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First and Last Name (Include all names if Family Membership) *

Mailing Address *

Phone Number *

Are you a current member of IBHA?

Yes

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How will you pay for the membership? *

Check/Cash

Paypal

No Payment Due

Other:

Send me a copy of my responses.

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