Ranch Name:
Name:
Address: 
City: 
Zip:
Telephone No. (H)
Telephone No. (W)

I would like a:
Life Time ($350.00) Membership
Owner/Breeder ($35.00 per year) Membership
Aficionado ($15.00 per year) Membership

Please list in the Membership Directory that our ranch has the following:

Horses for Sale
LSPHC Membership		 Services Provided
SWPHC Membership

Please make checks payable to the
Lone Star Peruvian Horse Club and mail this form to:

Lyndon Wright
1444 S Pine Lake Rd
Montgomery, TX 77316
936-588-0619

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