APPLICATION FOR MFTHBA FOX TROT AMERICA AWARD PROGRAM

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HORSE'S NAME ___________________________ REG. # __________________

OWNER'S NAME __________________________ MFTHBA # ______________

MAILING ADDRESS ________________________________________________

CITY ______________________________________ STATE _____ ZIP _______

PHONE (DAY) _____________________PHONE (NIGHT)___________________

Send your completed application with enrollment fee to:         FOR OFFICE USE ONLY
MFTHBA, PO Box 1027, Ava, MO  65608                       Enrollment fee paid: (Date)_______
                                                                                              Check # _______Receipt # _______

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