Pinto Organization of Kentucky 2007 Membership Application

 

For membership from 1/1/2007 to 12/31/2007.

NAME:__________________________________________________

PTHA# ___________________

 

Family Membership List Names

 

 

 

 

 

Farm Membership List Names (two voting members allowed)

 

 

 

 

Address ________________________________________________________________

 

City, State & Zip _________________________________________________________

 

Phone:__________________________ E-Mail Address___________________________

 

 

 

Please make checks payable to POOKy and Mail to:

 

            Vicky Thomason

        966 Bobtown Rd

        Cynthiana, KY 41031

 

 

Signature: _______________________