Transcription of Join or Renew Your Mem Quarter Horse Association
1 Join or Renew Your Membership in Pennsylvania s AQHA Affiliate Quarter Horse Association Name AQHA # Address: City State Zip county Phone Number Cell Number Email (must be legible for us to email your newsletter) SS # Birth Date Single or Family New or Renew Names (Spouse and Children under 18) Single or Family AQHA # Birth date Age Youth Member Quarter Horse Interest:_____Occupation _____ PQHA e-newsletter - Please be sure your email address is legible. Newsletter also available at Membership Type Total Due $250 Life* $40 Family* $30 Single* *Includes youth membership for all youth under 18 years of age Mail To: PQHA PO Box 166 Coburn, PA 16832 Phone: 814-880-0965 E-mail: or PQHA Year-End Points Nomination Form 2018 Horse s Name Sex: Stallion Mare Gelding AQHA Reg.
2 # Year Foaled Owner s Name Owner s Phone Shown By Relationship to Owner Amateur # Youth# Birth Date PQHA Points ( Quarter Horse Shows) Check all that Apply AQHA Open Awards $ *Amateur Awards $ *Amateur Select _____ $ Novice Amateur Awards $ Youth Awards $ Novice Youth Awards $ EWD All Age $ EWD (Equestrians with Disabilities) Small Fry (W/T) Awards $ Leadline _____ Free COMBO NOMINATIONS *Both Amateur and Amateur Select Points Combo_____ $ ** Nomination fees for 2018 ** AQHA Open All Around_____ $ Amateur All Around _____ $ Youth All Around _____ $ Amateur Select High Point $ Novice Amateur High Point $ Novice Youth High Point $ Small Fry (W/T) High Pt $ EWD All Age High Pt _____ $ Total Paid Make Check Payable to PQHA Mail Check to: PQHA, PO Box 166, Coburn, PA 16832 FMI on Points: PQHA ( Quarter Horse Shows) Points.
3 Brenda Campbell (724-932-5432) pqpointkeeper@ PQHA accepts Credit Card Payments Pay your membership, nominations, stall reservations and much more by Visa or Master Card Name on Card _____ Card Number _____ 3 digit security _____ Expiration Date _____ 2018 PQHA Point Any Exhibitor wishing to earn points toward a division All Around or High Point, must nominate for both the division awards and the corresponding All Around or High Point. A fee of $ each has been added to qualify for each division AA or High Point.
