FORT CUSTER HORSE FRIENDS ASSOCIATION MEMBERSHIP APPLICATION

 

Name ________________________________________________________________

Address ______________________________________________________________

City __________________________________ State ___________ Zip ___________

Telephone _____________________ Email _________________________________

 

Send to: FCHFA / Sue Bertch                                 Membership Fees: Single $15/yr

              1959 E Y Ave.,                                                               Family   20/yr

              Vickburg, MI 49097

 

            I hereby release FCHFA from any and all liabilities for personal loss/injury and/or property damage of any kind. I accept all responsibility for myself, family members & personal property.