Lifetime Farm/CORP/SynDICATE/PARTNERSHIP Membership

The information you provide below will be used to issue a new lifetime membership by using a credit card as the method of payment. The THJA will not collect any information on this page concerning your credit card. You will be transferred to a secure web site to obtain that information. If you prefer not to use this method, you may call Ann Yaffe at (281)934-3251. She can take your information over the phone and have your credit charged for the correct membership amount. She can also issue a credit to your card if it is necessary to reverse a transaction made in error. If you want the membership card sent to an address that is different from below, enter it in the "SHIPPING INFORMATION" area on the secure website form. If your credit card billing information is different from the information entered below, make sure you change it on the secure website form. If you provide an E-mail address below, a receipt will be sent to that address.

There is no additional cost to transfer horses from owners/authorized agent(s) shown below to the business membership if it is done at the time of farm membership registration.

ON ALL REFUNDS, WE WILL DEDUCT THE CREDIT CARD PROCESSING FEE FROM THE AMOUNT RETURNED TO YOU, SINCE WE HAVE TO PAY FOR IT IN ALL CASES.

Lifetime Farm Membership - $200.00

Farm/Corp/Syndicate/Partnership USEF No

Email Address

Owner (First Name)

Owner (Last Name)

Owner #2 (Full Name)

Farm/Corp/Syndicate/Partnership Name

Street Address

Country (Optional)

City

State

Zip

Business Phone

Alternate Phone

Include my information in the Membership Directory?

Include my email address in the Membership Directory?

Include my phone number in the Membership Directory

List all THJA recorded horses owned by this farm below. Completing this section authorizes the THJA to effect a transfer of ownership from existing individuals listed above to the business name.