drm1.gif (592 bytes)Distance Riders of Manitoba Association

 

DRMA  Application Form

Sorry, we cannot take payments on-line.
Please print out this form, fill in, and send with a cheque (payable to DRMA,  [click for costs]) to the 

 Membership Director:
 Linda Cruden 
Box 47, Gr 36 RR2 
Dugald, MB   R0E 0K0
horsepwr@mts.net  

Name, First, Last

Address (# and Street)

Town and Province

Postal Code      

E-mail address (if applicable)

Home Phone

Work Phone

Cell Phone

Fax Line

Type of Membership (Single___ or Family ___)

AERC Membership # (if applicable)

MHC Membership # (if not current MHC member, please contact Manitoba Horse Council)

Name, Age and Type of Horse(s) Owned (information required for year end awards)