Individual Memberships are $25.00, Farm or Family Memberships are $35.00, which includes the Newsletter for one year and (1) vote Individual and (2) votes for Farm/Family. All Junior Memberships (18 years of age or younger) are $5.00. Junior members receive no voting rights or Newsletter and require one parent or adult sponsor to be a member. Associate membership (no voting privileges) $25.00. Lifetime memberships are as follows - Individual $200.00, Family/Farm $300.00. Subscription to Newsletter with no membership $15.00 for one year.

________Individual ________Farm/Family _________Lifetime______Junior ________Subscription

Name ____________________________________________
Address___________________________________________
City ______________________________________________
State ___________________ Zip ________________
Phone Number _________________________________

Farm Name (Optional) _________________________________
Web Site Address (Optional) _____________________________
Email Address (Optional) _______________________________

For Junior Membership Only:
Date of Birth: ____ _____ ____
Name of Sponsor: ____________________________

If this is a gift, and you wish a card sent to the above, print your name here:
__________________________________________________________

Print Out Form, Fill Out, and Mail with Payment to:
Dixieland Miniature Horse Society, Inc.
Frank McCartha
Heritage Farms
2601 Dutch Fork Road
Chapin, South Carolina 29036
Fmccartha@aol.com