KDHMA Application Form

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Kansas Draft Horse and Mule Association

Membership Application

Memberships are $20 Annually

Name:_______________________________________	Breed (mark any that apply):	_____________
	Belgian	_____________
Address:_____________________________________	Clydesdale	_____________
	Percheron	_____________
City, State, Zip:_______________________________	Shire	_____________
	Suffolk	_____________
Phone: (______)_______-________________	Mule	_____________
	Other	_____________
Class of Membership:___________________	Enthusiast	_____________

Amount Enclosed:______________________ Mail to:

KDHMA, c/o Charlotte Blake

Date:_________________________________ 5609 SW Shumway

El Dorado, Kansas 67042

Amount Enclosed:______________________	Mail to:
	KDHMA, c/o Charlotte Blake
Date:_________________________________	5609 SW Shumway
	El Dorado, Kansas 67042