Hudson
Valley Arabian Horse Association
Membership
Application
Membership Year
______________
Date__________________
Application Type - Renewal ______
New______
Name________________________________________________________________________________________
Farm Name
___________________________________________________________________________________
Address
______________________________________________________________________________________
City
__________________________________ State _________________ Zip ____________________________
Phone____________________________________________________
SS#_______-_______-__________
E-mail_____________________________________________
Birth date _____/____ /_______ (required for Youth)
AHA membership
#__________________________ Member of
AHA since ____________ (if applicable)
*** Information Release Please check below if you do
NOT want the above information printed in the
Region 16 Directory or online on the Members Only web site.
Name/ address ______ Phone ______ Email address ________
Signature of Applicant __________________________________________________________________________
Signature of parent or
guardian if under 18 __________________________________________________________
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Membership
Categories (Check one) _______$55.00 One Yr Adult ______ $150.00 3 Yr Adult AHA Membership, Voting
privileges and AHA Competitions Card and AHA Excess Personal
Liability Insurance _______$40.00 One Yr
Adult _______ $105.00 3 Yr Adult AHA Membership and Voting
privileges _______$20.00 One Year
Club Associate No voting privileges and
No AHA membership _______$30.00 One Yr Youth AHA Membership & Competitions
Card No Voting privileges or
insurance _______$20.00 One Year
Youth AHA membership, No Voting
privileges Get a full 12 months of
benefits! A late fee of $10 will be applied when a
membership is renewed after the last day of the month in which it expires. We
encourage everyone to JOIN ON LINE at www.arabianhorses.org/membership.asp It
saves time and you can use your credit card and print your membership card
right away. Many online options will be available for
joining, renewing and acquiring your Competition Card. You can even join AHA
first and get your Competition Card later when you're
ready to compete. Competition Cards
can be ordered online or purchased at AHA recognized events. |
Would you be interested in
helping at club activities? Yes _____ No _____ Maybe
_____ In what areas of activity
participation are you interested? ______ Recreational Riding ______ Showing at AHA,
USEF rated shows ______ Showing at open/fun
shows (not rated) ______
Distance/Competitive riding ______ Working Hunter ______ Professional
Trainer/Exhibitor ______ Dressage ______ Sport Horse Make Checks Payable to: HVAHA Mail to: Evelyn Westerlund 430 Route 82 Hopewell JCT, NY 12533 845-221-2923 |