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Membership Application Form







You may submit the following form via email simply by clicking on the "JOIN NOW" button
or you may print this PDF form and mail to:



N.S.H.P.A. Secretary / Treasurer
Tom McQueen
3377 Alcorn Road
Fallon, NV 89406-7214


To ensure prompt delivery of your card be sure to:
  1. Fill Membership application form below completely / neatly.
  2. Be sure to use your MAILING ADDRESS for future mailings.
  3. Include your check / money order payable to NSHPA.
Cards will be sent upon receipt of THIS FORM & DUES.

Adult Member Costs
  • $17.00 National Dues
  • $ 8.00 State Dues
  • $ 1.00 N.H.P.F.
Junior Member Costs
  • $ 5.00 National Dues
  • $ 1.00 State Dues
  • $ 1.00 N.H.P.F.





Membership Application Form Year*


First Name: *
Last Name: *
Date of Birth: *
Email Address: *
Mailing Address: *
City: *
State: Nevada
 
Zip Code: *
Area Code: *
Phone No: *
Club Affiliation**:
** If you are a member of a horseshoe club in Nevada, please list your club above.


Category: [ you must select the category to which you belong ]


Applying as:
If Renewal, enter number of years here:




* Required Information



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