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Louisville Thoroughbred Society Membership Application

Name_________________________________________________________________ Primary Home Address:______________________________________________ City_______________________State_________ Zip Code____________________ Email_____________________________________________ DOB_______________ Home Phone ________________________Cell Phone ______________________ Marital Status________________________

Spouse/Significant Other______________________________________________ Email_____________________________________________ DOB_______________ Home Phone ________________________Cell Phone ______________________

Applicant’s Employer _________________________________________________ Occupation/Title______________________________________________________ Type of Business ______________________________________________________ City_______________________State_________ Zip Code_____________________

LTS

Spouse ‘s Employer _________________________________________________ Occupation/Title______________________________________________________ Type of Business ______________________________________________________ City_______________________State_________ Zip Code_____________________

Professional, Service, Social Organizations, Other Club Affiliations of Applicant:____________________________________________________________ _______________________________________________________________________ Professional, Service, Social Organizations, Other Club Affiliations of Spouse:_______________________________________________________________ _______________________________________________________________________

How are you involved in the horse industry? Circle all that apply.

Trainer________________________
Jockey________________________
Owner________________________
Bettor________________________
Fan_________________________
Breeder______________________
Other ________________________

How many years have you been interested in, engaged in, involved in the horse industry? _____________________________

LTS

How did you hear about the Louisville Thoroughbred Society? _______________________________________________________________________ _______________________________________________________________________

What type of Membership are you applying for?

Investor $10,000.00 Legacy $5,000.00

LTS Club Member $1,575.00

Initiation Fee and Payment Options

I agree to pay the initiation fee of $495.00. Initiation fee will be paid as a one-time payment at the time of application.

Miscellaneous Disclosures:

I acknowledge and agree to the club rules and restrictions. Pictures taken at the LTS may be used on the LTS website, social media, newsletters and marketing materials as needed. Upon acceptance of membership, your name, address, phone number and email address, will be published in the LTS directory. The use of the LTS and privileges under the membership are subject to the terms, conditions and restrictions set forth by the board. Applicant agrees to conform and abide by LTS rules as set and amended from time to time.

__________________ (Initial Here)

Signature:

LTS

I certify that, to the best of my knowledge, the enclosed information is correct.

__________________________________________ _____________________________

Applicant’s Signature / Date

(You can print, and mail to the attention of: Louisville Thoroughbred Society / 12300 Locust Lane / Louisville, KY 40223)