Westfalen Horse Association

MEMBERSHIP APPLICATION
Name _______________________________________________________________

Address _____________________________________________________________

City ________________________________ State ____________ Zip ____________

Telephone(s) __________________________ Fax ___________________________

Email _________________________________ Membership No. ________________
                                                                                                                       Last 4 Digits of SS#

Membership (January 1 - December 31)................. $40.00
(Qualities Member for USDF All-Breed Awards)

Junior (under 18) Membership - (Jan. I - Dec. 31)... $15.00


HORSE REGISTRATION FORM

Required for horses competing for USDF Awards and WHA sponsored breed show classes.  Even if you have already provided the following information for another Westfalen association, it is necessary to do so again.

Name of Horse ________________________________________________________

Age________ Sex _________ Current Level of Competition ____________________

Owner's Name____________________ Reg. or Brith Cert #. ___________________

Lifetime Registration Fee $35.00

Please include a copy, front and back, of your horse's German registration papers or brith certificate. Your horse cannot be registered with this Association or compete for awards without this information.

Note: If you have additional horse(s) to register, you may xerox this form or request additional forms from the Secretary.

MEMBERSHIP ENTITLES YOU TO COMPETE FOR WESTFALEN USDF ALL-BREEDS AWARDS.

Please return form and check to:
Barbara Putnam, Membership & Dues,
2820 N. Liberty Road, NE
North Liberty, IA 52317