Carolina Paint Horse Club Membership Application

Carolina Paint Horse Club Membership Application
Membership Year *
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
I give permission for my address, phone number, and email to be published. *

Yes No
Membership Type *

Youth Only Membership ($15) - no votes Individual Membership ($25) entitled to 1 vote during membership meeting Family Membership ($40) entitled to 2 votes during membership meeting Lifetime Member ($0) - entitled to 1 vote during membership meeting (Nominated by and voted on by BOD)
Main Member Name *

First Name Last Name
APHA/Amateur/Youth Number *
Date of Birth *

Month Day Year
Date
Email *
example@example.com
Complete for Family Membership ONLY
Adult #2 Name

First Name Last Name
Adult #2 APHA/Amateur Number
Adult #2 Date of Birth

Month Day Year
Date
Adult #2 Email
example@example.com
Youth #1 Name

First Name Last Name
Youth #1 APHA/Youth Number
Youth #1 Date of Birth

Month Day Year
Date
Youth #1 Email
example@example.com
Youth #2 Name

First Name Last Name
Youth #2 APHA/Youth Number
Youth #2 Date of Birth

Month Day Year
Date
Youth #2 Email
example@example.com
Youth #3 Name

First Name Last Name
Youth #3 APHA/Youth Number
Youth #3 Date of Birth

Month Day Year
Date
Youth #2 Email
example@example.com
Membership Guidelines

1.      According to the APHA Rulebook, both the horse owner AND the exhibitor must be APHA members to qualify for APHA National Points.

2.      CPHC Yearly Memberships are good January 1 through December 31 of the membership year.

3.      CPHC year end points begin accumulating the date membership is paid.

4.      Both the horse owner AND exhibitor (trainer or non-owner in Open classes) must be CPHC members to qualify for CPHC year end points.

5.      If a member owns a horse exhibited by a spouse or dependent, a Family membership with everyone listed would be required.

6.      To qualify for CPHC Year End All Around OR Individual Class Awards, you must show to at least 75% of the available judges for the year.
I have read and understand the above membership guidelines. *

Yes
Electronic Signature *
Today's Date *

Month Day Year
Date
Make Checks Payable to: CPHC

Send to:

Michelle Perry

1218 Briarwood Dr

Mebane, NC 27302

Paypal Accepted Email: cphconline.gmail.com

Paypal - Send Friends and Family ONLY
Payment Type *

Check - mailed to CPHC C/O Michelle Perry 1218 Briarwood Dr. Mebane, NC 27302 PayPal - Send to cphconline@gmail.com ensure before sending it says "Sending to a friend" CPHC Gift Certificate - Received at Year End Banquet Show Bill (at the show)
After pressing Submit, please wait for Thank-you page. You will receive a confirmation email when submission is complete.
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