NCHC Membership Form
Name: ________________________________________________________

Address: ______________________________________________________ 

City/State/Zip: _________________________________________________

Farm/Business/Corporate Name: __________________________________

Home Phone: ___________________ Work Phone:___________________

Barn Phone: ____________________  Fax Number: __________________

Email Address:_________________________________________________

Breed/Interest:  ________________________________________________

I will volunteer my services to the NCHC in the following areas:          

Committee preferred:  __________________________________________

NCHC
Committees

Membership
Agri-Business
Regulatory / Environmental Impact
Education
Facilities
Trails

Equine Health
Legislative
Rider Safety  

Southern Horse Festival
Annual Dues  ( Membership runs from January 1 to December 31 of each year)

Please circle the type of membership you are signing up for:

                Junior (under 17)……...........$5.00                          Individual…………………….$25.00

                Farm / Business …………...$25.00                         Lifetime Membership.…….$200.00

Riding Club/ Breed Association (Less than 100 members)……..$50.00

Riding Club/Breed Association (Over 100 members) ………….$100.00


Please return this form with payment to:

North Carolina Horse Council

4904 Waters Edge Drive, Suite 290

Raleigh, N.C. 27606
Site Σ 2000, 2001, 2002, 2003, 2004, 2005. North Carolina Horse Council (NCHC).  All Rights Reserved.  No portion of this Web Site may be copied or reproduced without the expressed, written permission of the North Carolina Horse Council.  Protected under Federal and International Copyright laws. 
Disclaimer Information Hosted-Designed by ACTplus.net