2013 Membership Form
2013 Membership Form
High Point Year End trophy saddles (or equivalent) in Open Jr., Open Sr., Amateur, Novice Amateur,
Amateur Select, Youth and Novice Youth.
Year End Awards (1st, 2nd and 3rd place) in each qualified class including Walk-Trot and Leadline
Year End Awards for Introductory AQHA-MSQHA approved shows
Up to date point standings for each approved show via email and on www.mountainstatesqha.com
Visit us on Facebook at Mountain States Quarter Horse Alliance to see photos and events
Name: ____________________________________________________________________________________
Address: _________________________________________________________________________________
City: _______________________________________________ State: ________ Zip: _________________
Phone: (______)_________________________ Alternate Phone (_____) ____________________________
Email Address: ___________________________________________________________________________
Please print clearly. We will use this email address as the main communication source to update you on point
standings, meetings, happenings, etc.
*****
Please check this box if you are eligible for Amateur Select classes ******
Horse Information:
Registered Name & Number
Sex
Year
Foaled
Registered Owner
(To qualify for a family membership: must reside in the same household and be related)
Date Recvd: ___________________
Officers Initial: _________________
Check No: _____________________
Date sent to Points Keeper: _______
$___________
Submit application & fees along with a copy of each horses registration papers to:
Tracy Bauman Pointskeeper
10303 Meadowbrook Road Yakima, WA 98903
Email: [email protected]