2019 2019 Miniature Horse World - Spring Edition | Page 46

2019 Nomination
A gelding may be nominated by completing this nomination form and giving the form and
required nomination fee to show management before the horse goes into his first class.
I would like to nominate my horse at the following show:
(A horse may only be shown one time in each division for the show year.)
 Western, Reno, NV (July 19-21)
 Central, Ardmore, OK (July 5-7)
 Eastern, Springfield Ohio (July 12-14)
I would like to nominate my horse in the following divisions:
(A horse may be nominated in one, two, or all three divisions @ $25.00 Per Division)
$ ________ Youth/Y.O.T.E.
$ ________ Amateur/A.O.T.E.
$ ________ Open
$ ________ Total Fee
_______________________________________________
AMHA Registered Name of Horse ___________________________
Registration Number
_______________________________________________
Nominators Name (Print) ___________________________
AMHA Membership Number
_______________________________________________________________________________
Address
___________________________________
City _______________________
City
____
State
_________
Zip Code
___________________________________
Phone Number _________________________________________
Email Address
_______________________________________________________________________________
Signed (Signature Required)
Enclose nomination fee payable to AMHA.
 Check is enclosed
Charge to my Credit Card  Visa  Master Card
Card Number: _______________________________
 American Express  Discover
Expiration Date:
____________
Name as it appears on card: ____________________________________________________
Signature: _____________________________________________________________