Membership Form

New York State Horse Council, Inc
Memberships are for the calendar year Jan. 1-Dec. 31

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All fields required which apply!
First Name Last Name
Email: Address:
City: State: Zip Code (Not +4): County: Phone:

Business/Club/Organization Additional Information Name: Website: Category: Options: Horse & Rider Services - Adoption / Boarding / Breeders / Camps / Carriage / Clinics / Clinicians / Dentistry / Education / Farrier / Horsemanship / Humane Welfares / Lessons / Rescue / Showing / Training / Transportation / Therapeutic / Veterinarian. Organizations & Clubs - Driving / Horse Organization / Horse Club / Social / Trail / Youth (4H, Pony Club, College teams, etc.). Trail Services - Lodging / Camping. Business & Personal Services - (Insurance / Legal / Marketing / Promotional..) Sales & Products - Barns/Buildings / Feed/Supplements / Tack / Trailer/Truck / Shop & Apparel Description (short):

NYSHC Chapter General Cattaraugus/Chautauqua Counties Eastern Hudson Valley Orange County Sullivan County Ulster County Western NY (Erie/Niagara Counties)

Membership Type Individual With Insurance ($66) Individual No Insurance ($40) Family With Insurance ($92) Family No Insurance ($60) Life Membership With First Year Insurance ($556) Life Member Insurance Only ($31) Youth No Insurance ($15) Commercial/Business/Association/Club/Farm ($80)

Receive NYSHC Newsletter via: Email (No Extra Cost) USPS Mail (Add $10)

Payment Method Submit App Online/Pay Online via Paypal/CC Submit App Online/Mail Check Mail App & Check

Notes:

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*Make checks payable to NYSHC
Mail paper applications with check to:
NYSHC Membership/SB
PO Box 424 Arkport, NY 14807

**If you have any questions, please email membership@nyshc.org

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