General Membership Application with Youth – US Arabian Horse Registry

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.

NON-VOTING Membership is designed for those individuals, organizations who have need of the use of the Online Stud Book. The cost is the same as the regular one-year membership. Requires annual renewal.

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-submission

USAHR 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 Member
Renewal at same level
Renewal changing level of membership

IF 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 $750
Age 40 for Lifetime $450
Age 60 for Lifetime $200
Youth Membership (one time only until 18th birthday) $20
Farm registration (one time only) $100
Foreign Membership 12 month only $100
Non voting membership annually $55

REQUIRED PERSONAL INFORMATION - PLEASE PRINT LEGIBLY. Remember, how you take membership will be the data used for Breeder and/or Owner in the Registry.

Name

Address

City

State and Zip Code

Email, if more than one, select one most often used

By 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 used

Farm Name

SPECIAL 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).

Select which type of payment option is to be used *

Cashier's Check, not a personal check
Money Order
Credit Card

Square *

Card

Name on Card

Square 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 Visa

Is the Name on Credit Card Same as Membership Name

Enter the Credit Card Number

Enter the name exactly as shown on the Credit Card

Expiration date in mm/yyyyy

Enter 3 digit security code

BE SURE TO ADD in the Convenience Fee of 3% if using a Credit Card

Enter 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 *

When you click on SUBMIT your information will be sent to the USAHR office.