Westfalen NA Membership Form

Westfalen North America

Westfälisches Pferdestammbuch e.V.

P. O. Box 429 Murdo, SD 57559
Telephone: (605) 669-2200
Business Cell: (605) 6441-6521 (text first)
Fax: (605) 734-8060
Website: www.westfalenverband.com
E-mail: office@westfalenverband.com

Sudmülenstrasse 33
D-48157 Münster-Handorf
Telephone: +49 (0) 251 32809-0
Fax: +49 (0) 251 32809-24
www.Westfalenpferde.de
info@Westfalenpferde.de

Membership Declaration for New and Renewing Members

Type of Membership

New Member Renewing Member

Membership Options

Please choose one membership option. Full membership includes both Studbook (breeding) and Awards privileges. Family memberships require primary adult contact and signature and include up to three family members. Junior Members application must include a parent/guardian’s signature.

Membership Type

Westfalen Studbook (Breeding) Westfalen Awards RPSI Awards

Please choose the type of membership which best describes your membership. You may choose more than one option

Farm Name

Last Name

First Name

Address

City

State

Zip Code

Telephone Number

Fax Number

Email

Web Address

Horse #1 Competing for Awards

Registration #

Horse #2 Competing for Awards

Registration #

1. With my admission to the Westfalen NA l I acknowledge the statutes of the association.

2. Membership term is for the current calendar year and will apply to all competition results for the current year as determined by USDF/USEF.

3. Full Studbook Membership includes Awards Privileges for up to two Westfalen or RPSI registered horses or ponies. Awards Membership includes Awards Privileges for one Westfalen or RPSI registered horse or pony.

Method of Payment

Paypal Credit Card Mail in Cash, Check, or Moneyorder

Select a payment option

Select 'Pay Now' to if you wish to pay your membership by Payal or Credit Card; Select ‘Pay Later' if you wish to mail in a Check, Cash, or Moneyorder.

Select a date

Electronic Signature

● Membership in the association can only be applied for upon reaching legal age. The Westfalen NA should be notified of any change of personal data (i.e. changes of name and/or address, etc.)

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