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Membership Application

Kentucky Thoroughbred Association, Inc.
Kentucky Thoroughbred Owners and Breeders, Inc.
4079 Iron Works Parkway
Lexington, Kentucky 40511-8483
(606) 381-1414/(606) 259-1643/Fax (606) 233-9737

Information Update
Trainer: Annual Membership - $10.00
Owner: Annual Membership - $100.00
Breeder: Annual Membership - $100.00
Associate Member (non-voting): Annual Membership - $200.00
Membership Information
First Name:
Last Name:
Firm/Farm/Stable:
Address 1:
Address 2:
City:
State:
Zip:
Telephone:
Fax:
Email:
Website:
1. Can this e-mail address receive bulk e-mails? Yes No

2. Is it required to call you before sending a fax? Yes No

3. What county in your state do you/your business reside in?
    

4. Please check all of the following that you/your business is: (ie. if you use one of the following but are not one, please do not check)
Association Blacksmith Bloodstock Agency Breeder
Consignor Farm Insurance Owner Publication
Race Track Tack/Supplies Trainer Training Center
Vanning Service Veteranerian