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Member Application/Renewal Form
Please Print Out this Form and Send/Bring it to Rainbow Stables, at the Address Provided Above.

Please Print Clearly

Name: _________________________________________________

Address: _________________________________________________

__________________________________________________ Postal Code: _______________

Telephone: ____________________ (home) ____________________ (business)

Membership fee enclosed:

Please make cheque payable to TIMMINS THERAPEUTIC RIDING ASSOCIATION and return to the Secretary, 1625 Mahoney Road, Timmins, Ontario P4N 7C3.

Memberships are renewable January 1st each year. Please remember to notify us of any change of address.