Racking Horse Breeders' Association of America * Membership and Show cards expire Dec. 31st of each year * Mail application with check or money order to: Phone: 256-353-7225 Fax: 256-353-7266 RHBAA, 67 Horse Center Road, Suite B, Decatur, Alabama 35603 E-mail: info@rackinghorse.com Website: www.rackinghorse.com Name______________________________ Membership #_________ Date of Birth ___________ S.S.#______________ Secondary Member: _____________________ Membership # _________ Date of Birth _________S.S.#____________ Street _______________________________________City _________________________ST________ Zip___________ Home Telephone__________________ Bus. Telephone __________________ E-Mail:____________________________ ___ Individual Membership $35.00 ___ Family Membership $45.00 (2 voting rights-2 eligible voters) Exhibitor Status Card (Amateur) $15.00 (After March 15th $25) ___ Amateur Show Card Name _________________________________ Date of Birth: ___________ ___ Amateur Show Card Name _________________________________ Date of Birth: ___________ ___ Amateur Show Card Name _________________________________ Date of Birth: ___________ Exhibitor Trainer Status Card $50.00 ___ Trainer Show Card Name _________________________________ Date of Birth: ___________ Have you ever trained or assisted in training horses for a living? □ Yes □ No If yes, how long ago? _______________ Full Time □ Assistant Trainer □ Part Time Trainer □ ___ Trainer Show Card Name _________________________________ Date of Birth: ___________ Have you ever trained or assisted in training horses for a living? □ Yes □ No If yes, how long ago? _______________ Full Time □ Assistant Trainer □ Part Time Trainer □ Exhibitor Status Card (Juvenile) $5.00 ___ Juvenile Show Card ___ Juvenile Show Card ___ Juvenile Show Card Name: ______________________________ Date of Birth:___________________ Name: ______________________________ Date of Birth:___________________ Name: ______________________________ Date of Birth:___________________ The RHBAA is an association which is operated to promote and preserve the Racking Horse breed through the Official Breed Registry and other activities. Individuals who are involved in the Racking Horse industry at any level are encouraged to join the RHBAA in order that your input and involvement can be combined with others to build upon the Association's growth and progress during the past quarter-century. Full Amount must be paid. AMOUNT ENCLOSED: $__________ Check Money Order Visa/Master Card Credit Card # ____________________________ Exp Date: ________ Name on Card: ____________________________ MAIL TO: RHBAA, 67 Horse Center Road Ste B, Decatur, AL 35603