MEMBERSHIP APPLICATION
Please make checks Payable to: A.H.A.M.
Mail To: 5A Farm St. Blackstone, MA 01504
Name:________________________________________________________________Date____________
Address:_____________________________________State:_____________________Zip:_____________
Phone:_______________________________________Email:_____________________________________
Membership Fees:
__$15 Junior ______/______/______Date of Birth (Jr.)
__$30 Junior w/AHA ____________________________Junior Name(s)
__$20 Individual ______________________Soc. Security # (Adult)
__$60 Individual w/AHA
__$30 Family (No AHA) ____________________________Horse Name(s)
__$10 AHA Late Fee after Dec 15th
__$10 per horse Year End Awards
Make Checks Payable to A.H.A.M.
Memberships include subscription to Northeast Equine Journal