CLUB APPLICATION

To join the Outriders Western Adventure Travel Club, please print this page out, fill it out, and send it in with your check for $25 to:

Michael Haynes Outriders
Ranch office, 860 King Orchard Road
Sarepta, LA 71071

We'll send you your complimentary MHO t-shirt, Member ID and the latest Newsletter right away.

Name: __________________________________________________________

Address: ________________________________________________________

________________________________________________________________

City, State, ZIP: ____________________________________________________

Phone: __________________________________________________________

Email Address: ____________________________________________________
(Note: Your email address must be complete, i.e., yourname@aol.com)

I heard about Michael Haynes outriders from:
a friend the Internet a magazine your brochure