Oregon Horse Association Oregon, Wisconsin

Membership Form

Name:____________________________________________  Year:________________

Address:________________________________________________________________  

City, State, Zipcode: ______________________________________________________ 

Phone number: ______-________________________

E-mail:_____________________________________              New   or   Renewal  (circle one)

The Oregon Horse Association is a member of the Wisconsin State Horse Council (WSHC).  Please place a check below to authorize:

____ Yes, I agree OHA can disclose my name & address to the Wisconsin State Horse Council           

____ Yes, I agree OHA can disclose my e-mail address to the Wisconsin State Horse Council for the purpose of e-mail communication such as monthly newsletters, special events and important legislative updates.

Type of Membership (circle one):     $15 Family          $10 Single
(Memberships after July 1st are half price for remainder of year)

Please take a moment to fill out the short survey on the OHA website to help us serve you better: www.oregonhorseassociation.org

Briefly describe your interest in horses (e.g. horses owned, breed or type interested in, horse activities interested in, etc.):





Signature:______________________________________________   Date:_______________
(Signature of parent or guardian if under 18 years old)

Thank you!

Please print, fill out and mail to:
Jean Hanson, Treasurer

c/o Oregon Horse Association
882 U.S. Hwy 14
Oregon, WI 53575