IHJA Membership Application

IHJA Membership Application

IHJA Membership Application

Illinois Hunter & Jumper Association Annual Membership

Name*

First NameLast Name
USEF #
A Circuit Riders
Birth Date*

MonthDayYear

Name

First NameLast Name
USEF #
A Circuit Riders
Birth Date

MonthDayYear

E-mail*
Banquet Invitations are Emailed
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
A CircuitB Circuit
JuniorAmateurProfessional
Stable:* Trainer:*
Horse Information

Complete this Section for each horse to be included on the membership
Horse's Show Name *
Use USEF Name for A Circuit... If Applying for Equitation/ Professional ONLY Please Put N/A for Horse Name
Owner:
Indicate the Owner if different then the above member
Height: Age: Color:
Horse USEF #
A Circuit horses required for points to count
Horse's Show Name (2)
Use USEF name for A circuit
Owner:
Indicate the Owner if different then the above member
Height: Age: Color:
Horse USEF #
A Circuit horses required for points to count

Horse's Show Name (3)
Use USEF name for A circuit
Owner:
Indicate the Owner if different then the above member
Height: Age: Color:
Horse USEF #
A Circuit horses required for points to count
Horse's Show Name (4)
Use USEF name for A circuit
Owner:
Indicate the Owner if different then the above member
Height: Age: Color:
Horse USEF #
A Circuit horses required for points to count
Horse's Show Name (5)
Use USEF name for A circuit
Owner:
Indicate the Owner if different then the above member
Height: Age: Color:
Horse USEF #
A Circuit horses required for points to count
Horse's Show Name (6)
Use USEF name for A circuit
Owner:
Indicate the Owner if different then the above member
Height: Age: Color:
Horse USEF #
A Circuit horses required for points to count
Any Additional Information needed for membership:

Membership:*

Individual - Equitation ONLY

1 Junior or Amateur, No Horse

$55.00 Quantity

Individual

1 Junior or Amateur, 1 Horse

$65.00 Quantity

Family

2 Juniors or Amateurs, 2 Horses

$120.00 Quantity

Professional Trainer ONLY

$75.00 Quantity

Show Manager

$75.00 Quantity

Additional Junior/ Amateur

$50.00 Quantity

Additional Horse

$50.00 Quantity

Professional Stable

Includes 3 Horses

$150.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

I Understand and Accept All Terms:

I hereby certify that all the information stated above is accurate. I understand that my membership is governed by the current Illinois Hunter Jumper Association, Inc. Rules and Regulations and I agree to abide by those rules.

All Credit Cards will include a 4% administrative fee.

*** Memberships are not Retroactive, Points accumulation for horses & riders begins on date this form is submitted (and fees paid) at the horse show office or received at IHJA office

*** Trainers are requires to be active members for customer points to count ***
Signature*

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Date*

MonthDayYear
Date
Congratulations you are on your way to becoming an IHJA Member.

Thank you!
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