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Ohio Valley
Reining Association Name:___________________________________________ Renewal Year: __________________ Address:___________________________________________________________________________ ____________________________________________________________________________________ Phone:(HOME)_____________________________ (FAX) __________________________________ SS#___________________________________________ DO YOU HAVE ACCESS TO THE INTERNET? __yes __no E-mail Address: ___________________________________________________________________ ARE YOU INTERESTED IN BEING A TROPHY SPONSOR? yes no NRHA No: ________________________________ EXPIRATION: ___________________ DIVISION: ___Open___Non Pro___Youth Membership Applied For: ___New___Renewal____Family: $30.00/year (please list names of children on next line) _________________________________________________________________________________________________________________________________ ___Single: $20.00/year Are you eligible to compete in Senior Division events (age 50 & older)? __yes __no DATE OF MEMBERSHIP APPLICATION: ________________________ Signature of Member: _____________________________________________________________ PLEASE COMPLETE AND RETURN (WITH CHECK MADE OUT TO "OVRHA")
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