This form is processed securely by JotForm.com.
The undersigned (print full legal name of owner(s):
do hereby request a Certificate of Registration CORRECTION.
FEE INDLUDES 3% ONLINE PROCESSING CHARGE
IMPORTANT NOTE: Current Certificate MUST be sent to the AHHS office before the Corrected Certificate can be sent to the owner.
American Hackney Horse Society4059 Iron Works Parkway, A-3Lexington, KY 40511-8462
(859) 255-8694 • firstname.lastname@example.org