2025 MQHA Membership Form

2025 MQHA Memberships:

Individual Membership $35.00

Individal Lifetime Membership $350.00

Family Membership $45.00

NOTE: A family membership consists of two adults and youth aged children all residing in the same household

MQHYA Membership (Youth Association) - $5.00 per Youth in addition to regular membership cost.

Application Type*

NewRenewal

Membership Type*

Member Information (hit the Add another family member to add more)*

Address*

Address

Street Address Line 2

City

Prov*

Postal Code*

Phone Number*

Email (membership card will be sent here, please allow up to 30 days)*

example@example.com

Do not forget to add an extra $5.00 per youth if your youth would like a Youth Association membership.

PAYMENT METHOD*

E-Transfer: maritimequarterhorse@gmail.com (please state membership in memo)Cheque Mail to: MQHA C/O Sarah Boss 72 Meeting House Rd., Upper Onslow, NS B6L 5J1

Membership applications will not be processed until payment has been received. Your membership card will be emailed within 30 days after payment is received.

My Products*

MQHA Individual Membership Product Image

MQHA Individual Membership$35.00

$35.00CAD Quantity

MQHA Family Membership$45.00. Family membership consists of two adults and all youth children living in the same household.

$45.00CAD

MQHA Lifetime Membership $350.00 per Individual.

$350.00CAD Quantity

MQHA Youth Membership ADD ON Product Image

MQHA Youth Membership ADD ON$5.00 per Youth. Individual membership or family membership also required. An individual or family membership must also be purchased.

$5.00CAD Quantity

Total

$0.00CAD

The MQHA is committed to ensuring the privacy of its member's personal information. The information provided on this form allows the MQHA to inform you about events and activities and to notify you of issues, events or special offers which may be of interest to you. By becoming a member, you are giving the MQHA permission to contact you by way of the information you have provided. The information on our membership list will be kept confidential and is only made accessible to members of the MQHA Board of Directors in order to conduct MQHA business and will not be available for outside commercial purpose. By signing this form you agree to these terms on behalf of yourself and any other family members listed above.

Signature*

Additional Comments