OKLAHOMA HUNTER JUMPER ASSOCIATION
                     2005 MEMBERSHIP APPLICATION FORM	

NAME: __________________________________________________ DATE: ____________

Parent contact if junior membership________________________________________

DOB: _______________

ADDRESS: __________________________________________________________________

CITY: _______________________________________STATE: _____ ZIPCODE: ________

PHONE: (_____)______________________ E-MAIL: ______________________________

ZONE 1 _____ All Oklahoma members whose zipcode begins with 74, except for 
members whose mailing address is in Lincoln, Payne or Pottawatomie County.

ZONE 2 ___All Oklahoma members whose zipcode begins with 73, plus members 
whose mailing address is in Lincoln, Payne and Pottawatomie County.

*All members of OHJA who reside outside the borders of Oklahoma need to 
declare a zone.

ADULT $25..... JUNIOR $25.......FAMILY $50....... LIFE $250

$10.00____If you want to receive a hard copy of the Post and Rail. Free 
if you receive it in e-mail form

If family membership, list additional members and birthdates.

_____________________________________________________________ DOB__________

_____________________________________________________________ DOB__________

MAIL TO:	JENNIFER STOUT, 432 NE 70TH ,OKLAHOMA CITY,OK 73105
		PHONE: 405-843-7130 e-mail: jtstout@cox.net