For your convenience,
this form is provided for you to fill in and then print
and mail or fax to the Registry at WCMHR, Inc., 12009
Stewartsville Rd., Vinton, VA 24179
Annual
Regular Membership: $32 (Includes Free 12-month
subscription to the Equine Journal)
$25 without subscription
$250
Lifetime membership (includes 1st. year's subscription)
$5 Youth
membership (does not include subscription)
Renewal of
Regular or Youth Membership above.
FREE Spouse or Partner's name include on membership if names are
entered.
FREE Farm Name registered with membership if applicable.
FREE Classified Ad
FREE Listing of your farm information in the Online
Breeders List (only
those members
who wish to be listed are included on this list.)
Your privacy is of the utmost importance to this Registry.
Print and fill in the blanks or Tab through the
blocks to fill in online, print, and mail or fax to the Registry.
Registry. include a check or money order
or Mastercard and Visa may be used for Registry
Fees. If charging--Include Mastercard #: or
Visa # Expiration Date and cardholder's name.
DO NOT FILL IN CREDIT CARD
INFORMATION ON LINE.
All payments must be made in US Funds. If using a check from
another country, you may send a money order or cashier's check or write
US Funds beside the dollar amount on the check. Check or Money order Visa Mastercard
Visa #_________________________________________________________________
or Mastercard #__________________________________________________________