Tri-State Rocky Mountain
Horse Club 

Membership / Renewal Application

Membership Year -   March 1^st through February 28^th

Please Print Information:                                                      Date:  _______________________

Name___________________________________________________________________

Address _________________________________________________________________

City ______________________________________State _________Zip ______________

Home Telephone ___________________         Business Phone _____________________

Email   ___________________________________________________________________

Circle One:                 Renewal           or               New Membership

$10.00   Single Membership _________           $20.00   Family Membership ___________

SEND TO:

Tri-State Rocky Mountain Horse Club

c/o Robert Biddle

2765 Diehl Road

Cincinnati, Ohio  45211