Mountain Bred, LLC dba Horse Park USATM
RR 4 Box 932
Salem, WV 26426-8917
304.624.4730
E-mail: info@horseparkusa.com
Website: www.horseparkusa.com
Contact Person: Steve Garvin/ Manager
To become a Member of Mountain Bred, LLC by Mail:
1. Right Click & Print out form below.
2. Fill out & check which Membership you would like to purchase.
3. Mail form in with check or money order to:
Mountain Bred, LLC
RR 4 Box 932
Salem, WV 26426-8917
4. You will receive a Membership Certificate & packet in the mail.
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Mountain Bred, LLC Application Form
(Please print.)
FIRST NAME: ______________________MIDDLE INITIAL: _____ LAST NAME: _____________________
ADDRESS: ___________________________________________________________________________
____________________________________________________________________________________
CITY: __________________________________ STATE: ___________________ ZIP CODE: __________
TELEPHONE: ____________________________________________________
E-MAIL: _________________________________(to notify Members of MBLLC Activities & updates)
* Please check below for desired number of Membership Interests.
____ 1 MEMBERSHIP INTEREST @ $100.00
____ 5 MEMBERSHIP INTERESTS @ $500.00
____ 10 MEMBERSHIP INTERESTS @ $1000.00
____ 50 MEMBERSHIP INTERESTS @ $5,000.00
____ 100 MEMBERSHIP INTERESTS @ $10,000.00
TOTAL CONTRIBUTION FOR MEMBERSHIP INTERESTS: $ _______________________
SIGNATURE OF APPLICANT _______________________________________________
DATE: ____________________________________
Mountain Bred, LLC
RR 4 Box 932
Salem, WV 26426-8917 · 304.624.4730
Steve Garvin/ Manager
E-mail: horseparkusa@gmail.com
Website: www.horseparkusa.com
___________________________________________________________________________________________________________________________________
*Join the Team -- Help build, manage & share in the profits of Horse Park USATM !
*Click here to find out how to become a member.
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