EMPIRE STATE ARABIAN HORSE ASSOCIATION
2008 MEMBERSHIP APPLICATION
A current Arabian Horse Association Membership with a Competition Card is required for participation in all AHA Member
Programs, including participation in horse shows as an owner,
trainer, handler, rider or coach and for competing in
Distance Rides.
New Member
YES
NO AHA Membership # ____________
Name
________________________________ Farm Name
___________________________
Social Security# or Taxpayer I.D.#
______________ Date of Birth ______________________
Please enroll me as an ESAHA member in the selected category:
$35.00 Adult Membership
$70.00 Adult Membership with Competition Card
$20.00 Youth Membership
$45.00 Youth Membership with Competition Card
$10.00 ESAHA Club Level only membership
Memberships renewed after the last day of the month in which the previous membership expired
pay an additional $10 late fee.
Amount enclosed: $______________
Signature ________________________ Date
______________
Please make payment payable to: ESAHA and remit to the Membership Chairperson:
Lu Ann Berlinski, 265 County Route 46, Phoenix, NY 13136
This
Membership Form has been saved in a .PDF format for
printing. If you do not presently have a copy of
Acrobat Reader installed you may download
a free copy at the Adobe website.
YES 
