Buckeye Walking Horse Association Membership Application Name__________________________________ Address________________________________ City______________State_________________ Zip_________Phone (     )_________________ Please Check Type of Membership _____$20.00     Individual _____$30.00 Family (spouse, member, children under 18)   _____$10.00 Junior (Under 18 as of Jan1) _____$10.00 Associate (out of state, newsletter only) Could you tell us a little bit about yourself. All of the information is optional, but it would help us get a better idea of what our members are like and will help us make the club better for you. Thank you.  _________Trainer  ________Amateur exhibitor  _________Owner _________Breeder  _________Stallion owner ________Other How many horse do you own? _______ Padded ______ Flat Shod _______ Which of the following activities would you probably attend? _______ Horse shows ________Seminars/Clinics ________Fun Shows _______BWHA meetings ________Trail rides____________Other Make Checks payable to BWHA Send Application and Dues to: Kathie Waltz 9215 Stafford Road Chagrin Falls, Ohio 44023 e-mail: talliho@windstream.net