EAST TENNESSEE WALKING HORSE CLASSIC
MEMBERSHIP APPLICATION

Application Date: __________________________

Total Memberships ________ @ $10/each = ____________

Name: _______________________________________________________________

Spouse Name: ________________________________________________________

Farm Name: __________________________________________________________

Business Name: _______________________________________________________

Address: _____________________________________________________________

_____________________________________________________________________

Home Phone: _________________________ Work: __________________________

Cell: ________________________________ E-mail: __________________________

List all youth 17 & under: _________________________________________________

_____________________________________________________________________

Make checks payable to: ETWHC

Mail checks and membership forms to:

ETWHC
Attn. Shea Sproles

382 Branch Road

Fall Branch, TN 37656