GCPHC - Membership Form
Membership Application
I do hereby make application for membership in the Green Country Paint Horse Club and do agree to abide

by the laws and by-laws of Green Country Paint Horse Club.

Individual or Family Membership (husband and wife)$30.00
Youth Membership add'l $5.00
Amateur/Novice Amateur Membership  add'l $5.00
Lifetime Membership  $150.00


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Name(s) Adult Membership

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Name(s) Youth Membership
Birthday(s) ___________  ______________  ______________

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Name(s) Amateur Membership

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Address

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Telephone (include area code)

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E-mail Address

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Ranch


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Today's Date

Please mail application to:

GCPHC President

C/O Tammie Cramer

P.O. Box 1395

Bartlesville, OK  74005