Half Draft Horse Membership Application

Half Draft Registry of America
Membership Application

Type of Membership
12 Months... $25.00
24 Months... $45.00
36 Months... $60.00

Please fill out the form below and press the submit button. All fields designated with an * are required fields and must be filled out completely in order to submit the form.
Name (First, Middle Init, Last):
(required if not using a business name.)
Business Name:
(required if not using an individual name.)

Address *:
Address Continued:
City *:
State/Province*:
Postal Code *:
Country *:
Email Address *:
Home Phone (inlcude area code) *:
Work Phone (include area code):
Date of Birth (MM/DD/YYYY) *: