Registration Application

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Registration Application
Horse of the Americas, Inc.
HOA #
STRAINS:
(Please Print)
Name Choice: (1)
(2)
Date Foaled:
( ) Mare ( ) Stallion ( ) Gelding Date Gelded:
Color:
Mane:
Tail:
Markings/Scars/Brands:
Sire:
HOA Reg. #:
Breeder (Owner of Sire at time of Service )
Dam:
Other Registry #:
Address
HOA Reg. #:
Breeder (Owner of Dam at time of Service)
Signature of Owner:
Other Registry #:
Address
REGISTRATION FEES:
MEMBERS:
NON-MEMBERS
Printed Name:
Farm/Ranch Name:
Mailing Address:
City:
State:
Zip/Postal Code:
Telephone:
Email/Website:
Weanlings:
$10.00
$20.00 (Includes 1 year membership)
Yearlings:
$15.00
$25.00 (Includes 1 year membership)
Over 2 Years: $25.00
$35.00 (Includes 1 year membership)
Transfer:
$10.00
$10.00
Transfer:
$20.00
$20.00 (Transfer + New certificate)
Lost/
$10.00
$10.00
Duplicate Certificate
International Registration: Add $10.00 for
shipping and handling.
Application must be accompanied by proper fees or application will not be processed. Make Cashier’s Check, Money Order or Personal Check payable to: Horse of
the Americas, Inc. (If sending personal check, please include Driver’s License number) Application must be accompanied by five color photographs—Left side, Right Side,
Front, Rear and Face. Photographs must be clear, close-up and show all markings. Send all fees, applications & photographs to: HOA Registrar, c/o Gretchen Patterson; 601 S.
Fredonia St.; Nacogdoches, TX 75961; Email: [email protected]
If feral, give capture information: When captured:
Date adopted:
Grandsire
Sire:
Reg.#
Grand-dam
Name:
Include all information available about this horse:
Please list all other registry or association numbers
(Optional):
This information will be placed in the HOA database.
Grandsire
Dam:
Reg.#
Grand-dam
Where captured:
Date titled:
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