THOROUGHBRED EXHIBITORS ASSOCIATION
APPLICATION/RENEWAL FOR MEMBERSHIP

(   )FAMILY= $25.00; (   )SENIOR= $15.00; (   )JUNIOR= $10.00

NAME __________________________________________________

PHONE _________________________________________________

ADDRESS _______________________________________________

CITY _______________________ STATE ______ ZIP ____________


NAME AND BIRTHDATE OF ALL JUNIORS
_________________________________________________________

_________________________________________________________

DATE __________ SIGNED ________________________________

Please print, fill out, and mail form to:
Tracy Ward, 17903 NE Homestead Dr. Brush Prairie, WA 98606.