Member Referral - SC 6641

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

WELCOME TO THE APHA FAMILY!

To say "thank you" for joining as a *new member, we're offering you a special price through our new member referral program where you can save up to $25!

In addition to preferred rates on APHA transactions, you'll also enjoy a subscription to APHA's gorgeous multiple award-winning Western lifestyle magazine, CHROME. Plus, you'll be eligible for limitless savings and discounts from trusted companies through the APHA Xtras program... all while supporting the majestic American Paint Horse!

*New is defined as not having been a member in the last two years.

IMPORTANT: If you click an option below and wish to retract it, you can start again by refreshing the page. This will clear all submissions and allow you to start over. This can only be done before the "Submit Form" button has been clicked at the bottom.

Joining or renewing?

Joining - I've never been an APHA member Renewing - I have been an APHA member before but not in the last two years (if more recently, you do not qualify for this promotion)

If renewing, please enter your existing APHA ID number, if known

Who Referred You?

Please fill out the requested information below.

Name*

First Name

Last Name

Their APHA ID number*

Numbers only. No spaces or special characters, please.

Your Membership Information

Please fill out the requested information below.

Name*

First Name

Last Name

U.S. Address

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Primary Phone*

Numbers only. No spaces or special characters, please.

Secondary Phone

Numbers only. No spaces or special characters, please.

Date of Birth (DD/MM/YY) Ex: 04/11/72

Email*

Membership Levels (Special pricing only available to new* members)*

1-Year Membership - $40 (save $5) 3-Year Membership - $90 (save $15) 5-Year Membership - $150 (save $25)

*New is defined as not having been a member in the last two years.

Subscribe to APHA's official publication, The Paint Horse Journal, at a special price! (Optional)

APHA’s award-winning monthly publication, the Paint Horse Journal, is dedicated to showcasing the versatility of the Paint Horse breed by sharing fascinating stories of our horses and members, along with Paint-specific articles about horse healthcare, genetics, bloodlines, breeding, training and industry news. It’s your source for Paint-specific content you won’t find anywhere else . Stay on top of the latest news in the Paint Horse industry and become part of the Paint Horse family through the pages of the Paint Horse Journal.

Subscribing today is easy with your membership purchase!

Paint Horse Journal Subscription (Optional)

1-Year U.S., Member Rate - $25 (save $5) 3-Year U.S., Member Rate - $70 (save $15) 1-Year, Canadian Member Rate - $40 (save $10) 3-Year, Canadian Member Rate - $125 (save $20) 1-Year, International Member Rate - $70 (save $15)

Quantity

Total to be Charged $

Cardholder Name*

First Name

Last Name

Cardholder APHA ID #*

Credit Card*

Billing Address for Credit Card*

Address Line 1

Address Line 2

City

State

ZIP Code

Country

You will receive a confirmation email immediately after completing this form. Then you will receive another email within 3 business days containing your member ID number. Your member packet will arrive in the mail in 4-6 weeks.

If you have any questions or problems with this form, please don't hesitate to contact APHA's Member Services department at memberservices@apha.com.

To conduct other APHA business such as registering a horse, transferring a horse, subscribing to our online services and more, please visit APHAOnline.org.

To avoid duplicate charges, please only click "submit" once.
Your method of payment is charged immediately upon clicking.
Thank you!