Membership Renewal for 2010
LIPPITT MORGAN BREEDERS' ASSOCIATION
Voting Membership (1 vote) ~ $30.00
I, ______________________________________, apply for Voting Membership to the Lippitt Morgan
Breeders' Association.
I affirm that I am the owner of the Lippitt Morgan registered by the American Morgan Horse Association
as
_________________________________________, AMHA # ______________, foaled
__________________, and thereby
qualify for Voting Membership. I endorse and approve the By-Laws of the Lippitt Morgan Breeders'
Association jointly
written by the Founding Members and dated 6/15/95.
Name(s): _____________________________ Signature: ________________________________
Address:________________________________________________________________________
_______________________________________________________________________________
Phone(s): __________________ Fax: _______________ Farm Name: ______________________
Registered Farm Prefix: ______________________ Email: _______________________________
Website: _____________________________ AMHA Membership#:________________________
Farm Voting Membership (2 votes) ~ $45.00
I/We,___________________________________________, apply for Farm and Voting Member- ship to
the Lippitt Morgan
Breeders' Association. I/We affirm that I am the breeder of Lippitt Morgans and have registered horses
as "bred by" myself,
for four separate years, through the American Morgan Horse Association and thereby qualify for the
Farm Voting Membership. I/We endorse and approve the By-Laws of the Lippitt Morgan Breeders' Association jointly written
by the Founding
Members and dated 6/15/95.
Name(s): _____________________________ Signature: ________________________________
Address:________________________________________________________________________
_______________________________________________________________________________
Phone(s): __________________ Fax: _______________ Farm Name: ______________________
Registered Farm Prefix: ______________________ Email: _______________________________
Website: _____________________________ AMHA Membership#:________________________
Associate and Non-Voting Membership ~ $30.00
I, __________________________________, apply for Non-Voting Membership to the Lippitt Morgan
Breeders' Association.
I affirm that I own no Lippitt Morgans, but love and support these horses through Non-Voting
Membership. I endorse and
approve the By-Laws of the Lippitt Morgan Breeders' Association jointly written by the Founding
Members and dated
6/15/95. (Members must be 15 yrs or older.)
Name(s): _____________________________ Signature: ________________________________
Address:________________________________________________________________________
_______________________________________________________________________________
Phone(s): __________________ Fax: _______________ Farm Name: ______________________
Registered Farm Prefix: ______________________ Email: _______________________________
Website: _____________________________ AMHA Membership#:________________________
Mail completed form and check for membership (made out to the LMBA) to:
Anne Millet, LMBA Secretary, 25 Knollwood Dr., E. Longmeadow, MA 01028
e-mail: dmercy1@juno.com
Or pay via PayPal to lippittmorganbreedersassociation@hotmail.com