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YES! I would like to join the HPECA.

Membership type: Individual Membership ________ Family Membership ________

Membership Fee: $15.00 for 1 year, $28.00 for 2 years (Membership year begins January 1).

Please make checks payable to HPECA and mail to:
Lee Ann Bunn, Treasurer
181 Tater Lane, Bumpass, VA 23024

Name(s):_________________________________________________________________________

HPS Stud Prefix if applicable: ________________________________________________________

Address: _________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________


Phone: ____________________________ Email: ________________________________________
I currently DO _____ DO NOT _____ own a Highland Pony.
List Ponies/ Comments: