Westfalen Horse Association Membership Form
City ________________________________ State ____________ Zip ____________
Telephone(s) __________________________ Fax ___________________________
Email _________________________________ Membership No. ________________
Last 4 Digits of SS#
Membership (January 1 - December 31)................. $50.00
(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