Please
print out this form, complete it, and provide a check or money order payable
to OQHA for the amount of your membership, and mail to:
The Ohio Quarter Horse Association
Membership Department
101 Tawa Rd., P.O. Box 209
Richwood, OH 43344-0209Please note: OQHA memberships are on a calendar year basis and will expire December 31 of the year joined.
Name_________________________________________________________________________ (first)
(middle initial)
(last)
Address____________________________________________________ City__________________________ State_______________ ZIP CODE_______________ Phone(_____)__________________ Year membership desired________ Youth birthdate_________(month/day/year) SS/Fed ID_____________________ Names
(family memberships only)Member type*
(Regular, Amateur, Youth)Member's relationship,Youth birthdate and age _____________________________ __________________________ ____________________________ _____________________________ __________________________ ____________________________ _____________________________ __________________________ ____________________________ _____________________________ __________________________ ____________________________ (*For membership type, you can also use abbreviations REG for adult, AM for amateur, andYTH for youth) Check the appropriate box for your OQHA membership type: $40.00 family membership $20.00 regular membership Do you have internet access? $10.00 youth membership check if you are an amateur yes no $150.00 life membership email address_______________________________________________________