This is a renewal ____Yes (if renewel you do not need to fill in this application, ulnless you are sending a check)

______ New membership. ( please clearly fill out form)

Please send payment to:

Coastal California Friesian Club (CCFC)

c/o Susan Hall ( sec. CCFC) 1059 Rancho Lindo Drive Petaluma, CA. 94952

$30.00 Full Membership (Horse owner, voting member of the club)
$20.00 Associate Membership (Non friesian owner, or full member of another club)
$500.00 Life Membership

Membership Term is August to August - (Augest of the current year to Augest of the following. Those that join after june 25 will got to the following year)

Todays date:____________________

I have already paid on-line ____Yes____No    Or Check Enclosed___Yes ___No

Clearly print:

Name____________________________phone_________________fax_______________cell_______________

Address_____________________________________________________________________

E-mail:______________________________________________________

Website:_____________________________________________________

Number of Friesians owned #_______ or none_______

I would like to be a FULL voting member of this club, I have registered Friesian Horses and I am not a full voting member of any other FHANA Affiliate club, I am a current FHANA Member. _____Yes _____No

I would like to be a FULL non voting member of this club, I have registered Friesian Horses and I am not a full voting member of any other FHANA Affiliate club, I am NOT a current FHANA Member. _____Yes _____No

I would Like to be an associate member of this club I don't own any Friesians or I am a full voting member with another FHANA Affiliate club ___Yes____No

I would Like to be a FULL Lifetime member of this Club ____Yes ____NO

This is a renewal ____Yes _____ No, New membership.
I would like to additionally donate $___________
to the club to be used for future Educational Events and the Kuering.

I have time and/or skill to help with projects: ________________________________________________________________________________________

I would like to make a suggestion:__________________________________________________________________________________________________

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