2023 ILHA Membership Application

2023 ILHA Membership Form

Thank you for your interest in becoming a member of the International Liberty Horse Association! (Please Note: ILHA memberships are annual memberships. All 2023 ILHA Memberships begin the day this form is submitted and expire December 31, 2023. You can become a member at any time throughout the year!)
First Name:*
Last Name:*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Gender*

FemaleMale
Mailing Address
Address*
Address Line 2
City*
State*
Postal Code*
Country*
Do you want to be listed in the ILHA Member Directory? (New in 2023 the ILHA will compile a directory of all ILHA Members. Only the country, state, and email address of each member will be listed. Physical addresses and phone numbers will NOT be shared or included. The purpose of the directory is to help new and existing members connect. If you do NOT want to be listed in the ILHA Member Directory please reply "No" below.*

YesNo
Are you a New or Renewing member?*

NewRenewing
Please enter the email associated with your exisiting ILHA account?
Membership Fee*
prevnext( X )
2023 Annual MembershipThru December 31, 2023
$83.00

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

2023 ILHA Membership Form