Horse's Name:
*
Type Pending (If Not Named)
NRHA:
NRHA Comp License#:
AQHA/Paint Horse:
AQHA#:
Form #:
Gender:
*
Mare
Stallion
Gelding
Year Horse was Born:
*
Eg: 2020
Horse Age:
Horse's Dam
*
Horse's Sire
*
Nominators Name:
*
First Name
Last Name
Does ORHA Have Your Current Membership on File:
*
Yes
Pending
Do You Required A ORHA Membership
*
Yes
No
Nominator's Current ORHA # (Can Not Be Expired)
*
Non-Member Please Enter 0000 Non-Member MUST submit a ORHA Membership Application
Owners Name:
*
First Name
Last Name
Address:
*
Street Address
Address (cont)
City
Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Date of Application:
*
-
Month
-
Day
Year
Signature of Nominator:
*
By Signing the Above You Agree To All Terms & Conditions
Enrollment Type & Information: ( late Fees Apply if After Jan 1 )
Weanling (Before Jan 15th Following the Weaning Year) __ _ $ 285.00
Yearling __ $ 570.00
2 Year Old __ $ 775.00
3 Years Old __ $ 1,500.00
4 Year Old _____ $ 400.00
5 Year Old _____ $ 300.00
6 Year Old _____ $ 200.00
7 Year Old _____ $ 100.00
8 Year Old _____ $ 75.00
Late Fee: ( If After Jan 1st )
*
Yes
No
Upload Competition Licence, ORHA & NRHA Memberships and or AQHA/Paint Horses Papers
*
Browse Files
Drag and drop files here
Choose a file
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Payment Type
*
E-Transfer:
Credit Card:
Cheque/Cash :
Total:
All Taxes are Included
E-Transfer To :
Mail Payment To :
Your Nomination will be Processed on the Date Payment is Received
*
Yes I agree to a 2.4% Service Fee when using a Credit Card
Total Credit Card :
Includes HST and Card Processing Fee of 3.5%
Credit Card Payment Amount:
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CAD
Payment Methods
Credit Card
Apple Pay
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Google Pay
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