.
.
.
.
.
          PHSA | 2017
For multiple memberships,
please complete each one separately.
*Step 1: Application
*Name
*Trainer's Name
*Today's Date
*DOB (m/d/yy)
*USEF #
*Address
*City
*State
*Zip Code
*Home/Cell Phone
*Email
*Membership Type

Check off each box
to select your PHSA
membership option(s).

*Remember to pay for
you AND your horse,
if applicable.
Senior: Amateur - $40
Senior: Professional - $40
Junior - $30
Horse/Pony Membership - $40
Transfer of Ownership - $15
*Name of Horse/Pony
*Is this horse
already a
lifetime
PHSA member?
Check
here!
Yes - $0  
No - $40
*USEF Recording/ID #
Yes - $15
*Transfer of Ownership
Yes/No
(Select One)
No - $0
Add total due here:
*Complete Payment in STEP 2, below.
*Owner's Name
*Owner's USEF #
*Color
Height (If older than 8)
Sire (If known)
Dam (If known)
*Year Foaled
State Foaled (If known)
*Sex
*Breed
*Primary Division(s) to Show
Points will not be limited to the
divisions listed
.
*Please submit application first, then
GO TO STEP 2
to complete payment and finalize membership status!
.
*Step 2: Payment
2018 P.H.S.A.
Online Membership Application
1) Make sure you
"submitted" your
application above for
only one rider or horse.

2. Select Membership  
Option(s).

3)
Insert name of
rider/owner/farm,
horse/pony you are
paying for.

4) Click 'Add to Cart'
to select all of the items
you would like to pay
for. Then, complete
payment through
PayPal.
*Print receipt for your records
.
.
Make sure information is correct then "submit"

Proceed to payment in
STEP 2. Follow steps to PayPal
You do not need a PayPal account to pay online - all major credit cards accepted
.
Membership Options
Rider/Owner/Farm & Horse Name: