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Kansas Draft Horse and Mule AssociationMembership Application

Memberships are $25 Annually

Name:_______________________________________ Breed (mark any that apply): _____________
Belgian _____________
Address:_____________________________________ Clydesdale _____________
Percheron _____________
City, State, Zip:_______________________________ Shire _____________
Suffolk _____________
Phone: (______)_______-________________ Mule _____________
Other _____________
Email Address:_________________________________ Enthusiast _____________
Class of Membership:___________________ Mail to:
KDHMA, c/o Linda Bocovich
Amount Enclosed:______________________ 10502 SE Pickrell Rd.
Leon, Kansas 67074
Date:_________________________________