PALOMINO HORSE BREEDERS OF AMERICA                  SHOW APPROVAL FORM

                       ONE APPLICATION MUST BE COMPLETED FOR EACH JUDGE

 

AFFILIATE PALOMINO ASSOC ____________________TITLE OF SHOW________________________________

 

DATE OF SHOW________________________________________START TIME___________________________

 

LOCATION OF SHOW_________________________CITY______________________________STATE_________

 

NAME OF PHBA APPROVED JUDGE_____________________________________PHBA ID#________________

(PHBA approved judges and their ID#’s are available on the website at www.palominohba.com)

 

PHBA SENDS OUT ONLY ONE SHOW PACKET PER GROUP.

PLEASE INCLUDE THE FOLLOWING INFORMATION FOR EACH CURRENT MEMBER:

(Please fill out as much information as possible, thank you.)

 

SHOW CONTACT (CALENDAR OF EVENTS PALOMINO HORSES MAGAZINE) 

 

NAME _______________________________________________PHBA ID #________________ Expire Date________ 

ADDRESS______________________________________CITY____________________STATE/ZIP_______________ 

PHONE (_______) ________________ FAX (______) __________________ EMAIL____________________________

 

SHOW SECRETARY (FOR SHOW RESULTS INFORMATION)

 

NAME _______________________________________________PHBA ID #________________ Expire Date________ 

ADDRESS______________________________________CITY____________________STATE/ZIP_______________ 

PHONE (_______) ________________ FAX (______) __________________ EMAIL____________________________

 

SHOW MANAGER

 

NAME _______________________________________________PHBA ID #________________ Expire Date________ 

ADDRESS______________________________________CITY____________________STATE/ZIP_______________

PHONE (_______) ________________ FAX (______) __________________ EMAIL____________________________

 

$ 40.00 per approval/Judge fee must be enclosed with each show approval.

Show approvals must be postmarked at 120 days prior to the date of show.

 If posted marked less than one hundred and twenty (120) days but more than sixty (60) days add $50 per judge late penalty fee. Show Bill or schedule of classes must be enclosed or postmarked before the start of the show.

VISA and MASTERCARD will be accepted.Fees above are the Discount for Cash and Check paying customers.

 Card #_______________________________________

Last three security digits on back of card_____________________

Expire Date: ___________________

Signature:______________________________________________

PENALTIES FOR LATE SHOW RESULTS AND FEES

 Rule 3053 states: “Failure to submit show results will  result in a $ 50 per show per judge fee after the first 21 day period. An additional $ 50 will be added per show per judge each 21 days the horse show is late over and above the first 21 days”.

 Rule 3054 states: The payment of the appropriate

administrative and drug testing fees which are not received within twenty-one (21) calendar days will be  penalized according to the time frame found in 3053 A and B.

                             01/04

 

SEND FORMS AND PAYMENT TO:

PALOMINO HORSE BREEDERS OF AMERICA *15253 E SKELLY DR* TULSA, OK 74116-2637

PHONE NUMBER (918) 438-1234 EXT. 14 * FAX NUMBER (918) 438-1232