THE AMERICAN MINIATURE HORSE ASSOCIATION, INC.
5601 S Interstate 35 W Alvarado, Texas 76009
(817) 783-5600 FAX (817) 783-6403
http://www.amha.org
MEMBERSHIP APPLICATION
Please check the appropriate Membership, complete the information below, and return.
Applicants agree to abide by all the Rules, Regulations and decisions of the AMHA, its Officers and Directors or its appointees.
USA
Annual Membership *
3 rd Member or Subsequent in household **
Youth Membership***
Associate Membership **** $70.00
$35.00
$10.00
$70.00
3 Year Membership
3 rd Member or Subsequent in household $210.00
$105.00
CANADA
INTERNATIONAL
$70.00
$35.00
$10.00
$70.00 $70.00
$35.00
$10.00
$70.00
$210.00
$105.00 $210.00
$105.00
____________________________________________________________________________________________________
* Annual Membership doesn’t expire until one year from the month payment is received.
** Must reside at same address as Member.
*** Valid until youth age limit is exceeded as defined in the AMHA Rulebook (Article IV–Section 2–D)
****Non-AMHA Horse Owners Only
NOTE: MEMBERSHIP INCLUDES SPOUSE ONLY IF REQUESTED.
For Show Purposes please include sex and birth date
(Sex and birth date required for Youth)
Please Print:
_____________________________________________________
Primary Member Name Male Female Birth Date _____________
MM/DD/YY
_____________________________________________________
Spouse Name Male Female Birth Date _____________
MM/DD/YY
_____________________________________________________
3 rd Member or Subsequent at same address Male Female Birth Date _____________
MM/DD/YY
_____________________________________________________
Youth Name Male Female Birth Date _____________
MM/DD/YY
Male Female Birth Date _____________
_____________________________________________________
Youth Name
MM/DD/YY
Private Check to have AMHA not publish your address (this is independent of Public Phone)
__________________________________________________ _______________________________________________
Address
City / State /Zip/Country
_______________________
Public Phone
(Leave blank for unlisted)
___________________________
Daytime Phone - AMHA use only
(Can be same as public phone)
________________________________________
E-mail Address
PLEASE MAKE ALL PAYMENTS IN US FUNDS
____ Credit Card ____Check Enclosed
Credit Card #: _________________________________ Expiration Date: ____/_____ CVV: _________
Name on Card: ________________________________ Signature: _______________________________