MAINE APPALOOSA HORSE CLUB
       Point Registration Form


   ************REGIONAL***************
                                                 Date:_____/_____/_____
Name:_________________________________________
Address:_______________________________________
City:_________________State:_______Zip:___________
Phone:________________ Cell:____________________
E:Mail:_________________________________________
Horse's Name                               Owner's Name                    Reg. No.            Sex             Date Foaled
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_____________________________________________________________________________________
_____________________________________________________________________________________
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Youth Name                             Relationship to Owner                        DOB                        AYA No.       
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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Non-Pro Name                        Relationship to Owner                         DOB                       Non-Pro No.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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Registration Fee:  $5.00 per horse ----- $5.00 per youth ------ $5.00 per Non-Pro

ALL HORSES MUST BE SIGNED UP WITH THE POINT SECRETARY AT LEAST 48 HOURS PRIOR TO SHOWING FOR POINTS TO BE AWARDED.  NO EXCEPTIONS!

Please include:  Completed form with check or money order payable to MeApHC
                          Photocopies of Registration Papers (FRONT and BACK); No papers, no points; and
                          Photocopies of transfer of ownerships with copies of fronts of papers (if applicable).
Send to: ***IF ALL REQUIRED PAPERWORK IS
NOT INCLUDED, ALL PAPERWORK
RECEIVED WILL BE RETURNED FOR
CORRECTION.***
Donna Osborne
MeApHC Point Secretary
28 George Sawyer Road
Buxton, Maine  04093