2008 CENTRAL OREGON PAINT HORSE CLUB MEMBERSHIP
Name:___________________________________________________________________
Spouse:__________________________________________________________________
Ranch
Name: __________________________________________________________________
Children under 18_________________________________________________________
________________________________________________________________________________________________
Address:_________________________________________________________________
City/State:______________________________________________Zip:______________
Phone:___________________________Email:__________________________________
Web:_____________________________________
Check Type of Membership with “X”
______Family $10.00______Individual $5.00 (Open,Youth, Amateur)______ Ranch $10.00
Please attach check made out to COPHC for Membership fees and Mail to:
Kay Simmelink COPHC Secretary, 2278 S. W. Culver Hwy, Madras, OR 97741
REMEMBER FOR YOUR AMATEUR POINTS TO COUNT TOWARD NWCC OR OCC AWARDS YOU MUST BE A MEMBER AS AN INDIVIDUAL IF YOU DO NOT OWN THE HORSE IN YOUR NAME. IF THE HORSE IS FAMILY OWNED THEN AMATEURS MUST HAVE THEIR OWN INDIVIDUAL MEMBERSHIP. ALSO ALL YOUTH MUST BE LISTED ON THESE MEMBERSHIP FORMS FOR THEIR POINTS TO COUNT TOWARD YEAR END AWARDS.