IHJA Membership Application

IHJA Membership Application

Illinois Hunter & Jumper Association Annual Membership

Personal Information and Horse Information
E-mail*
Banquet Invitations are Emailed
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Circuit*

A CircuitB Circuit
Status:*

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 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
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

Membership:*

Individual - Equitation ONLY1 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

$150.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Horse Information