NCHA-Membership · File:916204 Dept:602 · P O Box 961218 · Fort Worth, Texas 76161-9797 · 817/244-6188

Application for Membership

 Year:    New:    Renew:  Membership # if renewing:  
Name Address
City State/Province US Zip-
Email Country Foreign Zip

Phone-- FAX-- Mobile-- Foreign Phone

SS# -- Tax ID# Birthday

Prior Membership under another name? If Yes, Please give us your name:

Area Designation will be determined by the address indicated above unless otherwise stated: View Map.
Must send list of horses and riders to Show Department. (Area designation is not retroactive.)


Type of Membership Individual    Ranch    Business    Partnership


Amount Clear

 Membership Jan 1 - Dec 31 (Includes Chatter Magazine unless denoted)

$60

· One year

$25

· Youth -No Chatter [Age 18 & Under]- Birthday Required

$200

· Youth Lifetime -No Chatter [Expires Age 19] - Birthday Required

$900

· Lifetime

      # = (Non-Pro/Amateur application required, if you are new or your status has changed)
$300# · Lifetime -Rider  Fee for Non-Pro and/or Amateur card  Lifetime Membership Required
$20# · Rider  Fee for Non-Pro and/or Amateur card (Annual Fee)
$75 · Additional Mailing Fee for Magazine - Countries Oversea [Must select Dues also] (Annual Fee)
$55 · Upgrade to 1st class Mailing Fee for Magazine -United States [Must select Dues also] (Annual Fee)
$20 · NCHA Charities (Annual Fee)
$120* · PROFESSIONAL TRAINER dues. (Includes $100 PAC fee.) (Annual Fee)

* Trainer Fee Includes $100 PAC Fee.  Do you wish to opt out of this Fee?   (PAC = Political Action Committee)


Donation to NCHA Charities:   Donation to NYCHA Organization:   Donation to PAC:  

Payment:Card #Expiration Date: MMYY
If paying by check, please print & mail (along with payment) to the address indicated above, Attn: Membership.


As a condition of membership: I/We agree to become familiar with and be bound by the rules of the National Cutting Horse Association. I/We expressly agree to have all disputes related to compliance with or violation of these rules resolved by the procedures provided in the rules.  If under 21 years of age, please have a parent or legal guardian submit this application for you.  You further understand that by providing your mailing and/or email address(es), that you consent to receive mail and emails sent by or on behalf of the NCHA and that you have the requisite authority to give this permission to the NCHA on behalf of yourself and your company.  By signing the application, all youth members and their parents/guardians expressly acknowledge that they have reviewed and become familiar with the NYCHA Code of Conduct published on the NCHA website and agree to abide by and be bound by the terms of that Code.

Electronic Signature: I accept above statement as a condition for membership:
If "YES" is not selected then this application will not be accepted.

 Applicant Signature (if form printed and mailed to NCHA): _____________________________________

 
 
Clicking Submit button more than once could result in your Credit Card being charged more than once.

Dues payments MAY BE deductible by Members as an ordinary and necessary business expense; however, contributions or gifts to the National Cutting Horse Association are not deductible as charitable contributions for federal income tax purposes. However, donations to the Cutters In Action (NCHA Charities Foundation)(501)(c)(3) charitable organization, are tax-deductible to the extent allowed by law. $6.00 of annual membership dues are designated for a subscription to the Cutting Horse Chatter, NCHA's official member publication.

Copyright ©National Cutting Horse Association All rights reserved. · Information in this document is subject to change without notice. v:2016