KANSAS BUCKSKIN HORSE ASSOCIATION MEMBERSHIP APPLICATION
Name ________________________________ Phone _________________________
Address _______________________________________________________________
Zip _________________ New Member ______ Renewal __________ Date __________
Youth __________________ Birth Date ________________ ABRA ID # ___________
.......__________________ .............._______________...............____________
........__________________............. _________________ ...........____________
ABRA Amateur (Name) _________________ and Number _______________________
E:Mail Address ______________________________
| Individual Membership | $20.00 ____________ |
| Family Membership (Includes children under 19) | $25.00 ____________ |
| Farm/Partnership or Corp Membership | $25.00 ____________ |
| Late fee for renewals received after March 31 | $ 5.00 ____________ |
Make Checks Payable to: KBHA
Mail to Cathy Webster, 39407 Harmony Road, Fontana, KS 66026