Show-Me Missouri Back Country Horsemen
Membership Application
Show-Me Missouri Back Country Horsemen
Name_____________________________
Address___________________________
City/State/Zip______________________
Telephone__________________________
Email______________________________
Please check One:
___ Individual-$35.00
___ Family-$40.00
___ Club or Business Membership-$55.00-entitles you to business card ad in quarterly newsletter and link on website.
New Member joining after August 1st will receive the rest of that year and the following year for one year’s membership fees.
Members may be a Chapter member or a member At Large, the dues are the same. Please indicate your chapter affiliation if applicable:
___ Brownfield Chapter-Lebanon/Waynesville area
___ Cuivre River Chapter-Troy area
___ Indian Trails Chapter-St Clair area
___ Mountain Riders Chapter-Norwood area
___ Nemo River Valley Chapter-Palmyra area
___ Tri-Lakes Chapter-Bolivar area
___ River Springs Chapter-Winona area
___ At Large-(meaning you do not belong to a specific Chapter)
Mail application to Carol Snell, 13282 Highway H, Hannibal, MO 63401.
573-822-7926 csnellfoxtrot@hotmail.com
By joining SMMBCH I agree to hold harmless the SHOW-ME MISSOURI BCH organization, its directors, officers, and members from any and all liability, claims or demands for personal injury, sickness or death, property damages and expenses incurred by myself or family member while participating or attending a SMMBCH event except in the event of gross and willful negligence.