Includes Youth Membership and Farm Affiliation GENERAL MEMBERSHIP APPLICATION – Direct Transfer (Press SUBMIT)Please enable JavaScript in your browser to complete this form. OFFICE USE: DCN ________________________ M # _______________Complete this Membership Form and send ONLINE for all work to be done by the Registry. Paperless forms are vital to keeping costs down for the Registry. Base (individual) membership is required. New or renewed USAHR memberships purchased on and after December, 2022, with payment method on file will automatically be renewed with the option to opt-out of the auto-renewal.PLEASE TYPE or PRINT LEGIBLY TO THIS FORM US Arabian Horse Registry, www.usahr.org, is a tax-exempt, not-for-profit, educational organization, IRS-501(c)5 REQUIRED INFORMATION. Applications submitted incomplete in this area will be returned and no action will be taken on any and all requests. Plus there may be a $25 fee added for re-submissionUSAHR Membership Number – IF you are ALREADY a member of USAHR and are renewing use the chart below if you are changing your membership. If renewing your membership, please indicate here as a RENEWAL. Thank You. First Time MemberRenewal at same levelRenewal changing level of membershipIF NOT A MEMBER ALREADY, FOR THE FUTURE. Select the choice which applies *Individual (base) for 12 month $55 Individual for 36 month $135 Individual Youth for Lifetime $750Age 40 for Lifetime $450Age 60 for Lifetime $200Youth Membership (one time only until 18th birthday) $20 Farm registration (one time only) $100 Foreign Membership 12 month only $100 Non voting membership annually $55Youth Membership can be upgraded to General Membership on their 19th birthday. Please enter your birth date if you are applying for membership as a Youth. Request to upgrade must be made by June 30th of your 18th year. REQUIRED PERSONAL INFORMATION – PLEASE PRINT LEGIBLY. Remember, how you take membership will be the data used for Breeder and/or Owner in the Registry. NameAddressCityState and Zip CodeEmail, if more than one, select one most often usedBy stating your email address you are agreeing to receive emails from the US Arabian Horse Registry Phone number and indicate if land line, cell and if extension numbers if usedFarm NameSPECIAL HANDLING REQUESTED THROUGH USAHR OFFICE. Special handling per certificate $25 (base membership) Two or three business days on any special handling $50 Express Processing Next Business Day $50 Reinstatement Fees differ by what is required – contact office 3CC Convenience Fee ($3 per $100)) DO NOT SEND CASH; DO NOT SEND A PERSONAL CHECK. Make payments in US Funds: Cashier's Check, Money Order or Credit Card (American Express Not Accepted). Payment must be made at the time the membership application is submitted. Select which type of payment option is to be used *Cashier’s Check, not a personal check Money OrderCredit CardSquare *CardName on CardSquare is being used as the payment gateway for Credit Cards. You must complete the Credit Card information if using a credit card. There is a required 3% Convenience Charge (calculated by USAHR and added to the final at time of remittance) which MUST be added to the Total Cost. If using Cashier's Check or Money Order please mail to USAHR, PO Box 423, Littlefield, TX 79339. Allow 2 to 4 weeks processing as USPS is slow.Name the Other Credit Card to be used if not Master or VisaIs the Name on Credit Card Same as Membership NameEnter the Credit Card Number Enter the name exactly as shown on the Credit CardExpiration date in mm/yyyyyEnter 3 digit security code BE SURE TO ADD in the Convenience Fee of 3% if using a Credit CardEnter the TOTAL AMOUNT DUE – This includes any Special Handling requested with its fees for such special handling. This information will not be retained in USAHR records and will be deleted from USAHR records after payment is received by USAHR. If using a Debit Credit Card, when completing your required Base Membership Application, please be advised for security reasons the Registry does not maintain your debit credit card information. NO CREDIT CARD INFORMATION IS KEPT BECAUSE OF SECURITY CONCERNS. *Signature Electronic *Clear SignatureWhen you click on SUBMIT your information will be sent to the USAHR office. PhoneSUBMIT