new_membership_form.docx (click to download form)
Zumbro Bottoms Back County Horsemen of Minnesota Membership Form
Zumbro Bottoms, located in SE Minnesota, is a special place. This group is about enhancing your
equine riding and camping experience at the Zumbro Bottoms Unit of the Richard J Dorer State Forest
and protecting this treasure for future generations of equine riders.
Check out our website at - http://zumbrobottomsbchmn.weebly.com
Email: [email protected] or Bruce Kvittem 507-259-6127
Please join today!!
Annual dues are $25.00 individual or $30.00 per family. Annual dues begin January of each year.
ZB Back Country Horsemen - MN Membership/Renewal
Name(s)______________________________________________________________________________
Address______________________________________________________________________________
City_____________________________________ State_________ Zip___________
Email Address______________________________________________________________________________
Phone Number _____________________________________________________________________________
I am interested in helping - NO - YES - I can
_____________________________________________________________________________
Membership (Please circle) Individual $25.00 Family $30.00 Supporting $10
Additional donation $______________ Primary Chapter Name_________________
Total enclosed $__________________
Make Checks Payable to: ZB BCH MN
Mail to:
Angie Murphy
19631 - 596th Street
Kellogg, MN 55945
Zumbro Bottoms Back County Horsemen of Minnesota Membership Form
Zumbro Bottoms, located in SE Minnesota, is a special place. This group is about enhancing your
equine riding and camping experience at the Zumbro Bottoms Unit of the Richard J Dorer State Forest
and protecting this treasure for future generations of equine riders.
Check out our website at - http://zumbrobottomsbchmn.weebly.com
Email: [email protected] or Bruce Kvittem 507-259-6127
Please join today!!
Annual dues are $25.00 individual or $30.00 per family. Annual dues begin January of each year.
ZB Back Country Horsemen - MN Membership/Renewal
Name(s)______________________________________________________________________________
Address______________________________________________________________________________
City_____________________________________ State_________ Zip___________
Email Address______________________________________________________________________________
Phone Number _____________________________________________________________________________
I am interested in helping - NO - YES - I can
_____________________________________________________________________________
Membership (Please circle) Individual $25.00 Family $30.00 Supporting $10
Additional donation $______________ Primary Chapter Name_________________
Total enclosed $__________________
Make Checks Payable to: ZB BCH MN
Mail to:
Angie Murphy
19631 - 596th Street
Kellogg, MN 55945