Transfer Application WORLD CLASS MINIATURE HORSE REGISTRY, INC
12009 Stewartsville Rd., Vinton, VA 24179 USA Tel/Fax: 540-890-0856 About -Information Packet
Current Membership required to perform transfer. New Owner must be a current member or become a current member with
WCMHR before the transfer can be registered. Simultaneous Membership and Transfer is permissible. Transfer form is on the back of the
Original Certificate. Please send the actual certificate back to WCMHR. This form may be utilized when the Certificate is not available or if
the Seller is not the Owner listed on the front of the Certificate. New and Renewing Members fill in Membership Form and include fees or
Membership Service Online.
Trasfer Fee of $15
thru December 31, 2017
No Late Late Transfer
Fee (after six months of date of transfer) until after December 31, 2017
Update to Permanent Fee of $10 if certificate has expired within year that the horse became a 3-year old.
Update to Permanent Fee of $10 if certificate has expired and is beyond the expiration date.
WCMHR Registration Number
Owner listed on the front of Certificate
New Owner's Name
Ranch/Farm Name (if any)
Signature of New Owner Date
Effective Date of Transfer I certify that I am the Owner and have full authority to transfer said horse.
Copy of Bill of Sale will be acceptable for transfer without the Previous Owner's Signature or if the
Seller is not listed as the Owner on the Original Certificate.
Service Certificate - If horse being transferred is a bred mare . Optional during 2017
Owner of Stallion
Total Amount $ Check/Money order payable to WCMHR, Inc. in US Funds
Visa Mastercard Discover Name on Card
Card No.______________________________________________ Expiration ____/____ 3-digit security code __/___/___
Signature of Cardholder __________________________________ Date _______________________
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