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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:
Judy Brescia, Treasurer
14213 Purcellville Rd
Lovettsville, VA 20180-311

Date: __________________

Name(s):_________________________________________________________________________

HPS Stud Prefix if applicable: ________________________________________________________

Address: _________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________


Phone: ____________________________ Email: ________________________________________

Check here if you would like to receive your newsletter via email ________.
I currently DO _____ DO NOT _____ own a Highland Pony.
List Ponies/ Comments: