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HORSEMEN HELPING HORSEMEN
I AM A MEMBER OF THE KENTUCKY HORSEMEN'S BENEVOLENT AND PROTECTIVE ASSOCIATION.
I UNDERSTAND THAT I AM ENTITLED TO ALL BENEFITS ESTABLISHED BY THE HBPA FOR ITS MEMBERS. |
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I hereby appoint the Kentucky Horsemen's Benevolent and Protective Association, Inc. to act
as my sole and exclusive agent and representative for the
purpose of negotiating and executing, or refusing to execute, with
Thoroughbred race tracks in Kentucky, any and all contracts and agreements relating
to Thoroughbred racing in the state. By this appointment I hereby revoke any and all previous
authorities given by me for similar purposes.
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NAME (please print) ________________________________________________
STABLE OR CORPORATION
NAME (if applicable)________________________________________________
ADDRESS ____________________________________________________________
CITY _____________________STATE___________________ZIP_______________
(check one) OWNER_________TRAINER_________OWNER/TRAINER_____________
EMAIL ______________________________________________________________
SIGNATURE___________________________________DATE____________________
Print, sign, and fax or mail us this membership form
today!
fax 502-367-6800
Kentucky Horsemen's Benevolent & Protective Association
3733 South Fourth St, Louisville, KY 40214
502-363-1077 * toll free 800-928-4272 * fax 502-367-6800 * email kyhbpa@insightbb.com
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