THE CANADIAN TRAKEHNER HORSE SOCIETY

Box 6009, New Hamburg, Ontario, N3A 2K6

Phone/Fax 519-662-3209, email: cantrakhsivh@golden.net, www.cantrak.on.ca

MEMBERSHIP APPLICATION 2009            Date:________                                             

Name:____________________________

Address:__________________________ Postal Code: ___________________

Telephone: (      )_______________________

Email: _______________________________

Type of  Membership:   Annual ___ $50.00                            Life: ___ $500.00

                                     Family ___ $ 100.00                        Associate: ___ $ 40,00

                                    Signature:____________________________