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00 SIGNATURE DATE Make checks payable to Cuyahoga County OHC Send to Catherine Rutti Treasurer 9630 Tilby Rd. DO NOT SEND THIS FORM OR FEES TO STATE OHC RETAIN IN YOUR CHAPTER Ohio Horseman s Council Inc. Multiple Chapter Secondary Application - Year 20 Membership Year is from January 1 to December 31 Cuyahoga County Chapter New Secondary Member Previous Secondary Member Please Print clearly or type Name Age Phone Spouse/Partner/Other Age Cell Phone Address City State Zip Address Above...

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Cuyahoga County Chapter refers to a specific chapter within the regulations or guidelines of Cuyahoga County in Ohio.

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