Membership Application
Apply by March 1, 2008 to be included in 2 drawings for beautiful "horsey" Silpada jewelry!!!

      Individual memberships are $23.00, farm or family memberships are $33.00. Junior membership (17 years of age or younger) is $1300 and requires parental permission and sponsorship by an adult member. Membership dues are renewed on an annual basis.

      By applying for membership in the Adirondack Miniature Horse Club, I(we) affirm that as a member(s) of AMHC, I(we) will honor and uphold the bylaws of the Adirondack Miniature Horse Club.

      Our membership list may be shared with other organizations. If you do not wish your name to be shared please check here._____



Date:_______________

Name:________________________________________________

Address:_______________________________________________

City:__________________________________________________

State:_________________________  Zip Code:_________________

Phone Number:__________________________________________

Email address(optional):____________________________________

Farm Name(optional):______________________________________

Website(optional):_________________________________________


For Junior Membership Only:

Date of Birth:___/____/____

Name of Sponsor:_________________________________________

Parents Signature:________________________________________



Please fill out and mail with payment to:

                                                         Becky Montano 
                                                         530 Cty Hwy 102
                                                         Gloversville, NY 12078