NCHA Membership Application

MAIL TO: NCHA MEMBERSHIP FILE 916204 | DEPT. 602 | P.O. BOX 961218 | FORT WORTH, TEXAS 76161-9797

Phone: 817-244-6188 | FAX: 817-244-2015 | nchacutting.com

Year

New or Renew *Required

Membership # *Required if renewing

Name *Required

Have you ever had a membership under another name(s)

Address *Required

Address 2

City *Required

Country *Required

State *Required

Zip/Postal Code *Required

Phone Number

Cell

Fax

Social Security #

Date of birth

Annual & Life membership includes Cutting Horse Chatter magazine in USA and Canada

Area Designation is determined by the address indicated on this form unless otherwise stated here.

Area Designation for 2018 Point Year (Area Designation is not retroactive)

You must also send a list of horses and riders to lsmith@nchacutting.com

All members must sign

The Undersigned parties, as a condition of membership, agree to become familiar with and be bound by the rules of the National Cutting Horse Association. The undersigned expressly agree to have all disputes related to compliance with or violation of these rules resolved by the procedure provided in these rules. If under 21 years of age, a parent/guardian signature is required. You further understand that by providing your mailing and/or email address(es), you consent to receive mail sent by or on behalf of the NCHA and that you have the requisite authority to give permission to the NCHA on behalf of yourself and your company. By their signature to this application, all youth members and their parents/guardians expressly acknowledge that they have reviewed and become familiar with the NYCHA Code of Conduct published on the NCHA website and agree to abide by and be bound by the terms of that Code.

Signature *Required only if you are sending in this form

Youth Signature *Required only if you are sending in this form

Parent Signature *Required only if you are sending in this form

Dues payments MAY BE deductible as an ordinary and necessary business expense, however, contributions and gifts to the National Cutting Horse Association are not deductible as charitable contributions for federal income tax purposes. Donations to NCHA Charities Foundation, a 501 (c) (3) charitable organization, are deductible to the extent allowed by law. $6 of your annual membership dues is designated for a subscription to the Cutting Horse Chatter, NCHA's Offical Publication.