2010 Membership
Form
NAME(S):
____________________________________________________________
ADDRESS:
_________________________________________________________ ______
CITY,
STATE, ZIP: _____________________________________________________________
PHONE:_____________________________________*EMAIL:__________________________________
NRCHA
# (s): _______________________ NSHA
#______________________
FAMILY MEMBERSHIP ($45) INDIVIDUAL($30) YOUTH ($10)
HOW
DID YOU FIND OUT ABOUT NCRCHA?_________________________________________________
Name
of person if referred by______________________________________
TYPE
OF DIVISION (check one): ( Non Pro must complete a Non Pro
Certificate)
OPEN NON PRO YOUTH (list age as of January 1st) __________
*Please include email
as we distribute show class draws, etc in this manner.
It will not be sold or
used for other than our organization.
Please make checks
payable to NCRCHA and mail with completed form to:
NCRCHA
Membership
Red
Bluff, Ca 96080
(www.ncrcha.org)