WHA Membership (Renewal) Application

January - December 2009

Full membership is $30 US/year (January-December) which includes listing in the membership list and brochure, 6 bi-monthly newsletters, one vote per farm, and free 30-word text ad per farm per newsletter issue and other member benefits as may become available throughout the year.

Members can also place a farm link on the Western Haflinger Association Web Site for $25 US/year above dues.

Make checks payable to:

WESTERN HAFLINGER ASSOCIATION
3300 214th St. SW
Brier, WA 98036

Please include appropriate fee, enclosing this form with your check.

Annual membership........................... $30.00(US)_________
Yes, I would like to have my farm listed on the WHA web site.......... $25.00(US)__________
Total enclosed: $ __________(US)
Please provide information as you wish it to appear in the published membership list.

Name(s)_____________________________________________________________

Farm Name____________________________________________Suffix___________

Address_____________________City_________________State/Province_____

Zip/Postal Code____________________

Phone (including area code)_________________________________Fax_____________________________

Email address___________________________________________________________

Yahoo ID (for identification purposes to be part of the WHA online group)________________________

Web page URL_______________________________________________________________

The following information on our membership list assists potential Haflinger buyers/breeders:

Do you usually have Haflingers for sale? ____________________________________

Do you own a breeding age Haflinger stallion licensed to breed by a North American registry? ______________________

Comments for the Western Haflinger Association Board may be continued on reverse of this form: ________________________________

"I and my family members support the mission of the Western Haflinger Association – dedication to the promotion and enjoyment of the Haflinger horse in western North America, as well as promotion and support of other WHA member farms."

Signature required____________________________________Date________________