WPHC Membership Form

Name           
Farm Name  
Address       
City/State/Zip
Phone             
E-Mail         
Children         
                    
                     
  Select all that apply:
  Single $15.00  Family $20.00 Youth $5.00  Amateur $10.00
Total Amount Enclosed $

Youth & Amateur exhibitors must have both a WPHC membership and a Youth/Amateur membership.