VBHSA Membership & Recording Form

1
Membership and/or Equine Recording
Membership Only (Annual or Lifetime)
Horse/Pony Recordings (including Transfer of Ownership)
Membership and Horse/Pony Recordings
2
Membership Options
Membership (Annual)
Membership (Lifetime)
Barn/Business Membership (Lifetime)
Barn/Business Membership (Annual)
3
Recording Options
Horse/Pony Recording (Lifetime)
Transfer of Ownership (including Lessee)
Horse/Pony Name Change
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Member Name* This field is required.If transferring ownership, enter new owner's or lessee's name here
If using Farm or Business Name, please include contact name in parenthesis
5
Address
Street Address Line 2
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Member's Email
7
Member's Phone
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Trainer or Barn Affiliation
9
Age Level* This field is required.Child and Junior memberships must complete date of birth for membership to be valid
Child (12 and under)
Junior (13-17)
Adult (18 and Over)
10
Date of BirthFor child and junior members only
Date
Month
Day
Year
11
Horse or Pony Show NameHard copy of valid Coggins must be on file in order to show.
12
Former Show Name Complete only if name is being changed
13
Owner's or Lessee's NameOwner's Name is required for all Recordings
If transferring ownership, enter new owner's or lessee's name
14
Previous Owner's or Lessee's NameIf transferring ownership or owner name changed
15
Color
Please Select
Please Select
Bay
Black
Blue Roan
Brown
Buckskin
Chestnut
Cream
Cremello
Dun
Grey
Grulla
Overo
Paint
Pinto
Palomino
Red Dun
Roan
Sorrel
Tobiano
White
16
Foaling DateIf date is unknown, enter 01-01- followed by foaling year
Day
Month
Year
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Sex
Please Select
Please Select
Gelding
Mare
Stallion
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Height
19
Pony Size
Small (Under 12.2)
Medium (12.2 to 13.2)
Large (Over 13.2 to 14.2)
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Breed
21
Markings
22
Upload Lease
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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Select Membership / Recording Fee(s)Click or tap on the number or arrow to select the appropriate membership and/or recording fee(s). Select the plus sign to add it to your cart/bag. You will have the option to review your cart/bag and make any changes prior to checking out.
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$20
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ORDER SUMMARY
Administrative FeeUSD
SubtotalUSD
Total costUSD
Annual Individual Membership
Membership will expire Nov 30th
$60.00Edit
Back
Lifetime Individual Membership
Membership never expires
$300.00Edit
Back
Annual Farm/Business Membership
Membership will expire Nov 30th
$40.00Edit
Back
Lifetime Farm/Business Membership
Membership never expires
$150.00Edit
Back
Recording of Horse/Pony
Lifetime - Never expires
$50.00Edit
Back
Transfer of Ownership
$20.00Edit
Back
Name Change
$20.00Edit
Back
Total cost $0.00
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Payment Methods
Fastlane Checkout
Choose from one of the PayPal options to make your payment.
Contact Info
Payment Info
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