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