MHA Membership Form

MHA Membership Form

Check One Membership below (Family including all children 17yrs & under listed below.)
Type of Membership

NEWRENEWAL
Name*

NameSpouse
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
MHA uses email as official news and notifications of meetings and shows. It is the responsibility of members to make sure the MHA Secretary has your updated email address.
Phone Number
Please enter a valid phone number.
Cell Number
Please enter a valid cell number.
Child #1 Name and DOB
Child #2 Name and DOB
Child #3 Name and DOB
Child #4 Name and DOB
AMATEUR CERTFICATION

MHA requires proof of amateur status (for certain horse show classes) as defined in the current USEF Rule Book. Please contact MHA for Amateur Certification for Adult MHA Members.
Amateur Card

Yes, I request an Amateur Card

	All	Hunter/Jumper Only	Pleasure Ring/Open Only	None
I wish to receive the following types of HORSE SHOW prize lists:

Check all that apply. Trail/Pleasure Logs & Dressage Show Score Forms are available from the MHA Administrator or www.mainehorseassoc.com
FAMILY PLEASURE HORSE PROGRAM

I plan to participate in the Family Pleasure Program (Certificate Recognition Program)
DRESSAGE PROGRAM

I plan to participate in the Dressage Program (High Score Awards Program)
TRAIL RIDE PROGRAM

I plan to participate in the (organized) Trail Ride Program (High Mileage Awards Program)
Membership Payment
prevnext( X )
Family
$35.00 Quantity



Individual
$30.00 Quantity



Individual Lifetime
$250.00 Quantity



Total

$0.00
Please verify that you are human*
Should be Empty: