Peruvian Paso Horse Registry of North America

ADDRESS INQUIRY


Please register all horses (owned &/or bred) and membership as follows:

I.D. #     ____________________________________________________________________

RANCH NAME ____________________________________________________________________
               [Limited to 30 letters and spaces]
               [ ]  Check here if horses are to be registered to the ranch name -
                    if not, all horses will be registered to the names exactly as
                    listed below.

LAST NAME:     _____________________________________________________


FIRST NAME(S): _____________________________________________________


ADDRESS:       _____________________________________________________


CITY:          _____________________________________________________


STATE:         _____________________________________________________


ZIP:           _____________________________________________________


HOME PHONE:    _____________________________________________________


WORK PHONE:    _____________________________________________________


FAX PHONE:     _____________________________________________________


E-MAIL:        _____________________________________________________


AUTHORIZED SIGNATURES (Please PRINT, then sign for each name):

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________                                                            

Please return as soon as possible.  If you have any questions, please call the 
Registry office at (707) 579-4394.  Thank you!
     

NAPHA * 3095 Burleson Retta Rd., Burleson, TX  76028  (707) 579-4394

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