Old Dominion Miniature Horse Club

Membership Application

I/We Desire to become a member of the Old Dominion Miniature Horse Club of Virginia (ODMHC) and will submit the annual fee based on the appropriate membership. If this application is accepted, I/We agree to comply with all terms and regulations as set forth in the rules and By-Laws of ODMHC

Membership Application

Members Name: A value is required.

AMHA #:

Expires:

AMHR #:

Expires:

2nd Family Member:
(18 yrs or older)

AMHA #:

Expires:

AMHR #:

Expires:

Regular Member Individual (1) vote	$25.00
Regular Member Family with (2) votes	$35.00
Junior Member* no voting privilege	$10.00
Associate Member** no voting privilege	$ 5.00

Please make a selection.

Farm Name:

Website:

Address:

City:

State:

Zip:

Telephone:

Cell:

E-mail:

A value is required.Invalid format.

Confirm E-mail:

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Date:

Referred By:

* Junior members are considered youth 17 and under and can be from household but must fill out a membership application to be documented as to where they reside and for general information for ODMHC.
** Associate member is an individual member 18 years or older who subscribe to the Articles of the club. Ownership of a Miniature Horse is not required.

You muat be a voting member to be eligible to participate in the Virginia Bred Program and the Futurity Nominated Program.

Annual membership shall start January 1st and end December 31st. Dues will be due by January 15th of the new fiscal year. There will be a $10 additional late fee for each month the membership is delinquent.

Once you finish filling out the application and click the submit button you will be directed to the PayPal page where you can process your application fee.

If you prefer you can finish this form and send a check to: ODMHC
385 Singhass Road
Winchester, Va 22602
c/o Bill Hollar Treasurer