Racking Horse Breeders' Association of America 67 Horse Center Road, Suite B
Decatur, AL 35603
(256) 353-7225

RHBAA Membership Application

Individual Membership $40 ($50 after January 15th). Family Membership $50 ($60 after January 15th) includes 2 adults and 2 children. Membership cards expire December 31st of each year. The primary member is entitled to one free pedigree registration, during the year foaled, each year membership dues are paid.

Fees as printed on the original: Individual $40 ($50 after January 15th); Family $50 ($60 after January 15th). There is a 3% surcharge on credit card payments.

Office / mailing: Mail any payment (check or money order) to RHBAA, 67 Horse Center Road, Suite B, Decatur, AL 35603. Phone and fax (256) 353-7225.

Please do not type credit card numbers anywhere on this form.

Membership type

Individual Family

Primary applicant

1 Quick fill: type the number, then last name or ZIP, then press Tab

Membership #

2 Then check or fill in the rest

Primary member name

Birth date Tap the calendar to pick the date.

Social Security number (as requested on the original form) Optional here. Stored encrypted; never emailed or shown in full on screen.

Address

City

State

ZIP

Phone

Second adult (Family membership)

1 Quick fill: type the number, then last name or ZIP, then press Tab

Membership #

2 Then check or fill in the rest

Name

Birth date Tap the calendar to pick the date.

Social Security number

Juvenile 1 (must be under 18; date of birth required)

1 Quick fill: type the number, then last name or ZIP, then press Tab

Membership #

2 Then check or fill in the rest

Juvenile name

Birth date Tap the calendar to pick the date.

Juvenile 2 (must be under 18; date of birth required)

1 Quick fill: type the number, then last name or ZIP, then press Tab

Membership #

2 Then check or fill in the rest

Juvenile name

Birth date Tap the calendar to pick the date.

Payment

How you will pay the office Nothing is paid on this website and card numbers are never collected here. The office confirms the amount.

Please confirm

Under the penalties of perjury, I certify that the above information is true and correct. I agree to abide by the Rules and Regulations of the RHBAA. I understand this application cannot be changed or altered in any way once it has been submitted and accepted by the RHBAA.

Next: you check everything, then it is sent.