Membership Application For Black Swamp Driving Club: ( Includes Subscription to the Equine Journal)

Name_____________________________________________________________________________

Address____________________________________________________________________________

E-mail Address _____________________________

City____________________________State______ZIP______________________________________

Phone ________________________

Type of horse driven____________________________________________________________________________

Type of vehicles driven____________________________________________________________________________

Membership ( ) $25.00

 

Names of family members___________________________________________________________________________

Make check payable to: Black Swamp Driving Club:

Send completed application to:  Jackie Minges, 9048 Summerfield Road, Temperence, MI 48182

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E-mail any questions or additions you might have to: groom@carriagedog.com