2010
Application for New Membership or Renewal
INTERNATIONAL PINTO ARABIAN REGISTRY, INC.
Renewal of Membership _____ My Membership Number is: ___________________ (New Member?)
Please check box.
Please print all information "CLEARLY" in black ink. (Or type)
Farm/Ranch Name _______________________________________________________________________________________________________
Your Name _____________________________________________________________________________________________________________
Spouse's Name __________________________________________________________________________________________________________
Dependent Children & Ages (Optional) Your Email Address: ________________________________________
_______________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________
Mailing Address _________________________________ City ____________________________ State ________Zip ___________
Home Phone ( )_________________________ Other ( )_________________________ Cell ( )_____________________
Annual dues are $30.00 per individual or family. Children under 18 may join without their family for $10.00 each.
Amount enclosed $________________My family and I are interested in: (Please check all that apply)
Pleasure Riding ________ Showing ________ Competitive ________ Speed Event _________ Breeding ___________
Equine Health _________ Other (Please specify) _______________________________________________________________
I agree that I will abide by all rules of International Pinto Arabian Registry, Inc., its shows and other activities, and
I will always endeavor to uphold the highest ethical practices in all my dealings with Pinto Arabians and
their owners, handlers, trainers and all others associated with this beautiful animal.
Signature _______________________________________________ Date ______________
You can print off of this screen or we will send you one in the mail.
After filling out application, send it to the address below.
International Pinto Arabian Registry, Inc.
3105 Joe Dowlen Road
Pleasant View, TN 37146-9046
email - Lmpintoarabian@aol.com
www.pintoarabians.com
Copyright (c) IPAR 2009, All rights reserved
International Pinto Arabian Registry, Inc. is not affiliated or associated with International Arabian
Horse Association, Pinto Horse Association or any other Registry/Association of any type.
IPAR
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