Application for Membership
American Appaloosa Association, Inc.
P.O. Box 429, Republic, MO 65738-0429
Phone 417-466-2046 - FAX 417-466-3633

Please print and return to above address with payment.

Name ___________________________________________________________________________

Breeder?  ٱ Yes ٱ No  How many years?__________________ 
Farm Name_______________________________________________________________________
Phone (_______)__________________  Country__________________________________________
Address___________________________ City____________________State______Zip___________
I/We do hereby apply for membership in the American Appaloosa Association, Inc.  I/We do understand that membership in the Association is subject to the rules and regulations of the Association and subject to suspension by the Board of Directors in accordance with the disciplinary rules as established by the board.  I/We further understand that active members shall receive the Association's semi-annual newsletter and be eligible for reduced registration fees and to participate in the programs offered by the Association.

Annual membership fees are due on or before January 20th of each year.

Annual Membership Fees:  
Single
Family
(Husband, wife and all children under 18)
$32.50
$42.50
New?   ________ Renewal #______________________

______________________________________________
Signature                                     

_______________________________________________
Date

Foreign Membership Fees:
Single
Family
(Husband, wife and all children under 18)
$40.00
$47.50
(Please list all additional family members, along with the ages of the children on the back of this page.  Thank You!)
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