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PROFESSIONAL HORSEMEN S ASSOCIATION OF AMERICA INC. 2016-2017 NATIONAL PHA MEDAL APPLICATION FOR COMPETING MEMBERSHIP 20 Riders MUST be PHA Competing members to accrue points for the National PHA Medal Name Date of Birth Address Phone Cell Email Barn Trainer Name Trainer Email Trainer Phone Mail to National PHA Medal C/O Gary Gauruder 146 Branca Court Milford CT 06461 Checks Payable to PHA For Show Secretarial Use Membership was received at Name of Show Name of Show Secretary Phone Number...
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