2019 2019 Miniature Horse World - Spring Edition | Page 131
Membership Form
Please note: As of 01.01.08, all AMHyA memberships are Lifetime Memberships. They are $10 and will be
valid until 12.31 of the year the youth turns 18. Youth Memberships do not have Registration privileges. In
order to conduct Registration transactions, there must be a regular AMHA membership on all Registration
paperwork. Replacement cards are $5 each upon request. Applicant agrees to abide by all the Rules, Regulations
and decisions of the AMHA, its Officers and Directors or its appointees. Questions? Email - [email protected].
There is an additional fee of $5.00 If Youth Membership is purchased at a local Show
Youth Information:
Name: _______________________________________________________________
First
Middle Initial
Last
___ Male
___ Female
Age as of January 1 this year: ______
Birthday (mm/dd/yy): _____________
Street Address: ________________________________________________________
City: __________________ State: ____ Zip: _________ Country: _______________
Telephone: ________________________ Email: ______________________________
Parent’s Name(s), (First/Last): ____________________________________________
Name of individual(s) paying for membership if other than parent or youth:
Individuals Name (First/Last) _____________________________________________
AMHyA Membership is $10.00 (or $15 if purchased at a local show)
Check or Money Order Enclosed (Make checks payable to AMHA) Non-sufficient
funds checks will be assessed a $25 charge. To pay with CC please complete the following
Name as it appears on card: ____________________________________________________________
Card #: ________ _________ _________ ________ Exp. Date: _________________ CVV: _____
Signature: __________________________________________________________________________
Would you be interested in donating to the AMHyA Youth Scholarship Fund at this time?
(Scholarship fund supports AMHyA members in their effort to obtain a higher education)
$10
$15
$25
Other Amount: ___________
Do Not Send Cash in the Mail.
PLEASE RETURN TO: AMHyA, 5601 S. INTERSTATE 35W, ALVARADO, TX 76009