South Dakota Paint Horse Club Membership Form (2008)

Send Dues and form or Information to:

Beverly Ringlbauer, 19080 365th Avenue, St. Lawrence SD  57373-6005

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

City: _________________________________________________________ State: ______________

Zip: _________________________________    Phone:______________________________________

E-Mail Address: ____________________________________________________________

(Only current e-mail address from above will be included on the membership list.)

$25.00 SDPHC Family or Individual Dues (with a $6 subscription to The Wrangler total will be $31)

 ______ New or ______ Renewal Date: ____________________

Checks written to SDPHC

To recognize and welcome new members, names are published in the Hoofprints and on the club’s web-site. Please indicate your preference: Yes ____ (my name can be published)   No ____ (please do not publish my name).

The Wrangler

____Yes, I wish to receive a one year subscription to The Wrangler for a $6 fee.

____ No, I do not wish to receive The Wrangler.