Online Membership Form

Save time, do it online! Alternatively, you can find a printable copy of this form on the forms page

Subscriptions are due on 1 August each year

Membership Type(Required)

See above for membership pricing - descriptions for each member can be found at the end of this form.

Would you like at add an Amateur Permit?

$10.00 (Additional payment – Quarter Horse or Family membership required) (early payment discount does not apply to Amateur Application) If yes - Please complete the online amateur application form and submit with your membership application and payment

NAMES (for Family Membership please list all family names)

Primary Membership Name(Required)

First Last

American member#

Name & Relationship

DOB & AQHA #

Name & Relationship

DOB & AQHA #

Name & Relationship

DOB & AQHA #

Name & Relationship

DOB & AQHA #

Name & Relationship

DOB & AQHA #

ADDRESS and DETAILS

Address(Required)

Street Address Address Line 2 City Region Post Code

Email(Required)

Phone(Required)

Signature

Consent(Required)

I/We hereby agree to abide by the constitution as contained in the Memorandum and Articles of the Association and the Rules and Regulations of the Association.

Please type your name to confirm you consent to the above(Required)

This will serve as your digital signature

Subscriptions are payable on 1st August of each year

When deciding which category of membership is required, please have regard to the following notes:

1. QUARTER HORSE MEMBER: Full voting rights, eligible for election to Council, eligible register horses, lodge breeding certificates, all points recorded, includes website login access. Note: This membership allows for one showing and voting member only and this member must be shown as the nominated member in Section 2.

2. YOUTH MEMBER: Points recorded for two horses. Website Login Access must be paid each year.

3. FAMILY MEMBERSHIP: for two or less adults and their children of 18 years. Eligible for points to be recorded for each
individual in family. Eligible to progeny record and register horses. Includes website login access. Not eligible to lodge breeding certificates. Must nominate one person who is to exercise voting rights. NB: Youth included in family membership are fulfilling membership requirements.

4. ASSOCIATE MEMBERSHIP: Entitles one individual person, corporations, partnerships or associations, societies and the like and is designed for those that may no longer wish to register horses with the Association but who may still wish to have connections with the industry. (Website Login Access must be paid each year).

5. AMATEUR PERMIT: Additional application and fee. Applicant must already have a membership as either a Quarter Horse member or as part of a family membership (Signed Amateur Application form may accompany this membership).

AQHA-NZ has the right to contact members via Phone, Text, Email or NZ Post