Horseback Riding for the Handicapped of New Jersey

2011 Subscription Dues Form

All *EAA/T centers and individuals are asked to join HRH of NJ by paying dues of $10.  *Equine Assisted Activities and Therapies

Other organizations wishing to support HRH and receive information on our listserve or place a link on our website are also invited to become members at $10. 

Please return the form with payment (checks made out to HRH of NJ) to: 

 HRH of NJ

 c/o Sheila Fitzgibbon

 41 Fordham Trail

 Hopatcong NJ 07843

PLEASE INDICATE if this is a Center, Organization  and/or individual membership

  Individual     EAA/T Center     Organization  

Individual Name: ____________________________________________________________________

Address: ___________________________________________________________________________

  __________________________________________________________________________

Phone(s) H______________________ C________________________ W_______________________

Fax: ______________________ E-mail: _________________________________________________

$10 paid _______

******************************************************************

EAA/T Center or Organization _________________________________________________

Center address: ______________________________________________________________________

 ______________________________________________________________________________

Center contact person _____________________________ Center phone: ______________________

Fax _______________________ Center e-mail ____________________________________________

Do you wish to have a link to your organization through our website Yes____ No_____

Web site to link to: __________________________________________________________________

$10 paid _________