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Wisconsin Quarter Horse Association

WQHA commits to it's members:

* To promote the American Quarter Horse and its industry by being the preferred State Breed Association.
* To appeal to and service all facets of our current and future members.

WQHA / WQHYA Membership Application
For Current Calendar Year January 1 to December 31

Start Enjoying the Benefits of Membership Today!
Membership in the Wisconsin Quarter Horse Association Offers:
The WQHA Newsletter including an annual Directory ~ Open Show Awards Program ~ Annual Convention and Year-End Awards
Affiliation with the AQHA and the Wisconsin State Horse Council ~ Scholarship Program
In order to earn WQHA points toward year-end awards, one must be a member of the Wisconsin Quarter Horse Association
(both owner and exhibitor of horse)

** denotes required fields

Select New or Renewal: ** New Renewal
Address Change

Select membership Type: **
Single $30.00
Family $35.00
Partnership, Farm, or Corporation $35.00
Life - Single $275.00
Life - Family $275.00
Life - Partnership, Farm, or Corporation $275.00

Last Name: **
First Name: **
Middle Name:
AQHA ID Number: **
Name 2 (if Family membership or Partnership):
AQHA ID Number Name 2 (if Family membership or Partnership):
Address: **
City: ** State: ** Zip: **
Telephone: ( ) - **
E-mail:
Birth Date (if 18 or under): month /day /year

If Family Membership list names and birth dates of children under 18 years of age:
Child 1 Name: Last: First: Middle:
Child 1 Birth date: month /day /year AQHA ID Number:

Child 2 Name: Last: First: Middle:
Child 2 Birth date: month /day /year AQHA ID Number:

Child 3 Name: Last: First: Middle:
Child 3 Birth date: month /day /year AQHA ID Number:

Child 4 Name: Last: First: Middle:
Child 4 Birth date: month /day /year AQHA ID Number:

Child 5 Name: Last: First: Middle:
Child 5 Birth date: month /day /year AQHA ID Number:

Payment: **
               Check
                    Make checks payable to:
                    WQHA
                    W2056 Tecumseh Road
                    New Holstein, WI 53061
              Credit Card
                    Credit Card Number:
                    Credit Card Expiration Date:

Please print and
send payment to:
WQHA
W2056 Tecumseh Road
New Holstein, WI 53061

www.wqha.com

Wisconsin Quarter Horse Association

WQHA commits to it's members:

* To promote the American Quarter Horse and its industry by being the preferred State Breed Association.
* To appeal to and service all facets of our current and future members.

WQHA / WQHYA Membership Application
For Current Calendar Year January 1 to December 31

Please print and
send payment to:
WQHA
W2056 Tecumseh Road
New Holstein, WI 53061

Thank You Very Much

www.wqha.com

Wisconsin Quarter Horse Association

WQHA commits to it's members: * To promote the American Quarter Horse and its industry by being the preferred State Breed Association. * To appeal to and service all facets of our current and future members.

WQHA / WQHYA Membership Application For Current Calendar Year January 1 to December 31

Please print and send payment to: WQHA W2056 Tecumseh Road New Holstein, WI 53061

Thank You Very Much

WQHA commits to it's members:

* To promote the American Quarter Horse and its industry by being the preferred State Breed Association.
* To appeal to and service all facets of our current and future members.

WQHA / WQHYA Membership Application
For Current Calendar Year January 1 to December 31

Please print and
send payment to:
WQHA
W2056 Tecumseh Road
New Holstein, WI 53061