American Mule Association

Registration Form

Long Ears Versatility Award (LEVA)

And

Saddle Sore Award (SSA)

Last Revised  09/20/04
 
Circle one or both that Apply:  LEVA  or  SSA
 
 
Mule/Donkey Name

 

AMA Reg. #

 

Rider Name

 

AMA Membership #

 

Rider's Mailing Address

 

 

 

Dollar Amount Enclosed:  $ _________

 

 

Date:  ____/____/____

 

 
 
Print this form   Bernita Garcia
Complete & Mail to:   1464 Beulah Street
    Hanford, Ca. 93230

Make Check payable to AMA

   
 
LEVA -- $10.00 PER YEAR
 SSA --  $10.00 PER YEAR
 

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