Date:________

Please Print

Name:	Phone:
Ranch Name:	Fax:
Address:	E-Mail
City: State: Zip code:	Name and Ages of Children:

I own the following horses registered with the AAOBPPH or PPHRNA:

Reg.#	Name:	Sex:
Reg.#	Name:	Sex:

(It is not necessary to list more than two horses, as family memberships only require ownership of two horses to have two votes.)

______ I Wish to Join the Club as an Aficionado:	_____ I DO NOT OWN a Purebred Registered Peruvian Paso _____ I DO OWN a Part-Blood Peruvian Paso

TYPE OF MEMBERSHIP: Membership Fee Enclosed:

______ Owner/Breeder ______ Family ______ Family Owner/Breeder ($20.00 Year)

______ Aficionado ______ Single ______ Single Owner/Breeder ($15.00 Year)

______ Renewal ______ Business ______ Aficionado ($10.00Year)