PLHA 2023 Membership Form
Fill out the form below if you wish to pay for your PLHA 2023 membership fees online.  

IMPORTANT - After you click submit you will be provided with a PayPal link for payment. Your application is not complete until payment has been received. Thanks for your support of PLHA
Sign in to Google to save your progress. Learn more
Type of Membership *
Name *
Spouse's Name (if applicable)
Children's names if under 18 (if applicable)
Street Address *
City *
State *
Zip *
Phone Number (best number to reach you at) *
Email Address *
I hereby release the Pontiac Lake Horseman’s Association, its membership and officers, of any and all liabilities resulting in physical injury, property damage or personal loss to myself or my family members in connection with any activities sponsored or organized by this Association. I realize that horses can behave unpredictably, and I agree to participate in these activities fully aware of the potential risks involved. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pontiac Lake Horseman's Association. Report Abuse