Morgan Horse Breeders & Exhibitors Association
All owners of Morgans and persons interested in the breed are invited to join. Membership is from Jan.1 to Dec. 31.
Last Name: ______________________ First: ______________ Spouse: _____________________
Farm or Prefix: ____________________________________________________________________
Address: _________________________________________________________________________
City: ____________________________________ State: __________ Zip: ____________________
Telephone: __________________________ e-mail: ______________________________________
Children: First Name: ___________________________ Age:_______
First Name: ___________________________ Age:_______
First Name: ___________________________ Age:_______
Family Membership (Two Votes) - $25.00
Single Membership (One Vote) - $20.00
Lifetime Membership (Individual) - $200.00
Junior Blackhawk Membership (separate
application) - $5.00
Make check Payable to M.H.B.E.A. Amount Paid:_________________________
Date: ________________________ Signature:____________________________
To participate as a Club Member, please circle the committees or areas
you would be willing to serve during this calendar year:
Membership Newsletter Publicity Promotion Juniors Other
Morgan Medallion Show Committee Club Events Other
Make check payable to MHBEA and mail to: .
Penny Lakatos - 801 Adelaine Avenue - South Pasadena, CA 91030 . .
See next page for listing of your horses - please fill out
Date: ______________________________
Name of Farm: _______________________________________________________________
YEAR
HORSES NAME REGISTR. # COLOR SEX FOALED SIRE DAM
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B=Bay BRN = Brown BLK = Black CH = Chestnut M=Mare S = Stallion G = Gelding