RHAA Membership Application - New and Renewals

1Applicant Information > 2Corporate Members > 3Payment
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Important

THIS FORM MUST BE COMPLETED IN ITS ENTIRETY INCLUDING PAYMENT OF DUES. ANY INCOMPLETE APPLICATION WILL BE RETURNED.
Amount Due will include a 4% service charge for payment by credit card

Amount Due will include a 4% service charge for payment by credit card Individual Membership $200 Corporate Membership, Unlimited Members $300
Date Date / MM / DD YYYY
Name Name First Last
Application Type

Application Type Renewal New Member
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Daytime Phone Daytime Phone - ### - ### ####
Evening Phone Evening Phone - ### - ### ####
Email Address
I have read and understand the rules and requirements of eligibility to compete any RHAA competition and I agree to abide by them. I understand that the responsibility and burden of proof of my eligibility rests solely on me and not the RHAA, its officers, directors, or employees. I also understand that any fraudulent activity on my part could result in disciplinary action which could result in suspension from the RHAA. The RHAA reserves the right to reclassify any member who violates the intention of the class entered.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Name of ranch / owner if competing on horse owned by employer:
Date of Employment Date of Employment / MM / DD YYYY
Ranch Owner / Employer: Draw your signature in the box below.

Draw or Type

I do certify that the applicant is currently employed full time by the above named ranch, and employment with said ranch is his/her primary source of income Clear

Full Name

I do certify that the applicant is currently employed full time by the above named ranch, and employment with said ranch is his/her primary source of income
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RHAA Membership Application - New and Renewals

RHAA Membership Application - New and Renewals

$`0.00`

Total

Important

$`0.00`

Total

RHAA Membership Application - New and Renewals

RHAA Membership Application - New and Renewals

$0.00

Total

Important

$0.00

Total

$`0.00`

$`0.00`