MEMBERSHIP APPLICATION

Yes, I would like to join the ranks of the Thoroughbred Stein Verein. I will receive four quarterly    Newsletters per year and have the opportunity to attend four club meetings a year. Enclosed is my          check for $15.00 payable to the Thoroughbred Stein Verein, for a one-year membership.                       (Includes spouse)

Please Print

NAME: _________________________________________________________________

ADDRESS: ______________________________________________________________

CITY, STATE, ZIP: _______________________________________________________

PHONE: ___________________________ EMAIL: _____________________________

SPOUSE NAME: ______________________________________________________(If applicable)

RECOMMENDED BY: _________________________________________________(If anyone)

I COLLECT

New Steins ________________________

Old Steins _________________________

Other _____________________________

None _____________________________

Print form, fill out and email me to get address where to send the check.

Pat Zimmerman  

pzimmy@bellsouth.net