2010
Application for New Membership or Renewal of Membership
INTERNATIONAL PINTO ARABIAN REGISTRY, INC.
Renewal of Membership My Membership Number is: (New Member?)
Place X in box if new member.
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
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
Fill in application so we can start processing, then you make a copy and SIGN, sending signed copy along with all of the necessary documents, pictures & Fees. We have to have it all for files.
