Racking Horse Breeders' Association of America
* Membership and Show cards expire Dec. 31st of each year *

Mail application with check or money order to: RHBAA, 67 Horse Center Road, Suite B, Decatur, Alabama 35603

Phone: 256-353-7225 Fax: 256-353-7266 E-mail: 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 Name: ______Date of Birth:______
___ Juvenile Show Card Name: ______Date of Birth:______
___ Juvenile Show Card Name: ______Date of Birth:______

The RHBAA is an association which is operated to promote and preserve the Racking Horse breedthrough the OfficialBreed Registry and other activities. Individuals who are involved in the Racking Horse industry at any level are encouraged to join the RHBAAin order that your input and involvement can be combined withothers to build upon the Association's growth and progress during the past quarter-century.
Full Amount must be paid.
AMOUNT ENCLOSED: $______r Check r Money Order r Visa/Master Card

Credit Card # ______Exp Date: ______Name on Card: ______

MAIL TO: RHBAA,67 Horse Center Road Ste B, Decatur, AL 35603