GLQHA Membership Form

Great Lakes Quarter Horse Association
3790 121st Ave.
Allegan, MI 49010
(269) 673-4440 Phone

MEMBERSHIP APPLICATION
Please print out and fill in appropriate blanks. Make sure you include a check for the proper amount

DATE of APPLICATION:_____________________

NAME:________________________________________________________________

ADDRESS:_____________________________________________________________

CITY:__________________________________STATE:______________________ ZIP:___________

TELEPHONE:(____)____________________ E-MAIL ADDRESS:_____________________________

Please Check Choice of Membership Below:

( ) $40.00 Single Membership (Canadian membership is $50.00 in US Funds)

( ) $45.00 Family Membership: This includes one individual plus spouse or other member of the
immediate family. The other family member must have attained the age of sixteen years, be
unmarried, and reside in the same household. Include an additional $10.00 for each family member
you wish to add other than the two members covered by the $45 fee. List names of persons to be
added as members below. All family members have one vote each. (Canadian membership is $55 /
US Funds).

(Spouse)________________________________________________________________

(Child)__________________________________________________________________

(Child)__________________________________________________________________

( ) $45.00 Partnership / Corporation (one vote & list voting member below) (Canadian membership
is $55.00 in US Funds)

(Name of voting member)________________________________________________

( ) $300.00 Life membership.

GLQHA is an AQHA Affiliate Member

*All persons nominating horses for Great Lakes Quarter Horse Association races will be required to pay
membership dues at the time of the first nomination.
Memberships expire on January 1st of each year.
Please make check payable to: Great Lakes Quarter Horse Association (GLQHA) and mail to address at top of form

Back to Home Page

Association Events

Racing Schedule