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Membership APPLICATION FORM
Membership is $25/ year.
Please print and fill out a separate form for each family member.
Read about membership benefits.

 

Name

Address
City/State/Zip
Day Phone/
Email
Tell us about yourself . . .
Date of birth
Riding experience
 
Games experience
   

Ponies owned by you or available to you
Name Age Breed Size Mare/Gelding

If you are under 21 . . .
Parent's name
Address
City/State/Zip
Day Phone/
Email

 Number of members
Payment method:  Please make check or money order payable to "USMGA" and snail mail this form to the address below.
  Snail-mail to:
Mark Washburn
310 East Boot Rd.
Malvern, PA 19355

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