TQHA Membership Application
INSTRUCTIONS: Please print this form, fill it in, and mail
with your check to:
TQHA Membership Division, Post Office Box 9449 Austin, Texas 78766
Payments via credit card may be faxed to: (512) 458-1713
Select Membership Type:
_______ $500, TQHA
Life (includes husband, wife & children)
_______ $100, 3 Year Joint
membership
_______ $40, 1 Year Joint membership
_______ $75, 3 Year
Individual membership
_______ $30, 1 Year Individual
membership
_______ $20, Amateur
_______ $10, Youth
If You selected Youth or Amateur please enter your AQHA ID#. If Youth, Date of Birth:
_______________________________________________________________________________
Check Interest:
Race
Show
Recreational
Membership
name:
_______________________________________________________________________________
Ranch or Company name:
_______________________________________________________________________________
Address:
Daytime
phone:
_______________________________________________________________________________
_______________________________________________________________________________
City:
State:
Zip:
_______________________________________________________________________________
Social Security or Federal
ID# email
address
_______________________________________________________________________________
Magazine Subscriptions at reduced member rates
(paid in addition to your dues)
Quarter Horse Track ($20 per
year)
|
| |
| NAME ON CARD | ____________________________________________ |
| CREDIT CARD # | __________ - __________ - __________ - __________ |
| EXP ____/____ | SIGNATURE |