North Louisiana Equestrian Association

Jennie Easterwood

9745 Bayou Bend

Shreveport, La 71115

318-798-6652

I hereby apply for 2008 membership and enclose payment of $_________________. Membership expires January 1 2009 for family or single membership.

Please circle the type of membership desired: Life( individual only): $250.00 Family: $35.00 Single: $25.00

Name (include all family members for family membership) __________________________________________________________

Address _______________________________________________________________________________________________

Phone Number (____)__________________ e-mail ________________________________________

Name of parent/guardian (junior riders only) ____________________________________________________________________

age/date of birth(juniors) ___________________________________________________________________________________

HORSE RECORDING FORM

Official use only: Recording number ___________________

Lifetime recording $25.00 Transfer of ownership or name change $10.00

Name of horse: ___________________________________________________________________________

Sex: Geld.____ mare _____ stallion ______ Breed:__________________________ Ht:______________ Color:________________

Age:____________ DOB:_________________

Owners name:___________________________________________________________________________________________

Address:_______________________________________________________________________________________________

Phone number: (____)_________ e-mail:______________________________________________________________________

do you own the horse or lease? own______________ lease_______________

If the horse is leased, please list owners name and address:__________________________________________________________________

______________________________________________________________________________________________________________