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Membership Application

   

Yearly Membership Fee - $100.00

      Fill in application, print and send with  Fee to: 

 Shoemaker - Skipper W Bloodlines, Inc.
John Hayes
    44105 County Road DD
      Akron, Colorado 80720.  

 

Name
Address
Address 2
City
State
Zip
Dated
Phone
Email
Website
Referred By
  
SHOEMAKER-SKIPPER W Stallions owned
(Include Registration #, color, year born, names of sire/dam):  

Other Horses:

List your goals and horse accomplishments: