Members

Farmers Draft Horse, Mule & Pony Club

Dedicated to the Promotion and preservation of Draft Animals. Established 1988

2009 MEMBERSHIP REGISTRATION

President: Luther Gray h- 207-926-5822 or c- 207-615-2908    Secretary:  Darcy Winslow  207-583-4268 or cell 595-1602

Dues are $15.00 per Farm, Family or Individual.

DATE:_________________________        AMOUNT PAID__________________________________  CHECK #__________

KEEP THIS PORTION. THIS IS YOUR RECEIPT

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DATE:___________________                         AMOUNT PAID____________________________

NAME:________________________________________________________________________

FARM NAME:__________________________________________________________________

ADDRESS:_____________________________________________________________________

ADDRESS:_____________________________________________________________________

PHONE:_______________________________________________________________________

EMAIL:________________________________________________________________________

WEBSITE:______________________________________________________________________

EQUINES OWN: (HOW MANY, BREEDS & GENDER)

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CHECK PAYABLE TO: FDHMPC & MAIL WITH FORM TO:  Darcy Winslow, 48 Leander Harmon Road, Harrison, ME 04040