
O
Transfer fee for current AQHA or AQHYA Member
. . . . . . . . . . . . . . . . . . . . . . . $20
O
Transfer fee for nonmember who wishes to become
a 12-month AQHA Member
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75
Say Goodbye to Renewal Notices – Have your membership and/or Journal subscription automatically renewed
on the credit card you provide. Nothing will lapse if you elect to auto renew. You can cancel at any time.
If you do not wish to enroll in the auto renewal program, fill in this circle:
O
O
Transfer fee for nonmember who wishes to become a
12-month AQHYA (Youth) Member
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40
Birthdate of youth __ __ / __ __ / __ __
We certify that the horse sold is the horse registered with the American Quarter Horse Association as described on the Certificate of Registration delivered to AQHA
in conjunction with this transfer report. We authorize AQHA to record the transfer of ownership of the horse upon AQHA’s receipt of all required transfer items.
INSTRUCTIONS:
1. Return Certicate of Registration with transfer report and appropriate fees to AQHA.
2. Print or type all requested information.
3. Verify that the horse’s color and markings match the Certicate of Registration.
4. The person selling the horse should be listed as the owner on the Certicate of Registration.
5. Any erasure or alteration may necessitate verication.
6.
Consult the AQHA Ofcial Handbook regarding complete transfer rules or contact AQHA.
Transfer Report
AQHA REGISTRATION NUMBER
DATE (IF KNOWN, MM/DD/YYYY)
HORSE’S NAME
GELDED:
O YES
If this transfer is for an unregistered foal, indicate foal’s birthdate and name and registration number of sire and dam.
SIRE
DAM
BIRTHDATE (MMDDYYYY)
DATE POSSESSION OF HORSE ACTUALLY CHANGED (MM/DD/YYYY)
DATE OF
SALE:
BUYER’S ADDRESS
STATE/PROVINCE
STATE/PROVINCE
DATE OF AUCTION
POSTAL CODE
POSTAL CODE
CITY
DAYTIME TELEPHONE
SIGNATURE OF SELLER
SELLER’S ADDRESS (STREET OR BOX NUMBER)SELLER’S PRINTED NAME
CITY
AREA CODE DAYTIME PHONE
COMPANY NAME MAILING ADDRESS
E-MAIL ADDRESS
SELLER’S AQHA ID #
E-MAIL
BUYER’S AQHA ID #
SOLD
TO:
O
FILL IN
THIS CIRCLE IF
THIS IS A NEW
ADDRESS
O
FILL IN
THIS CIRCLE IF
THIS IS A NEW
ADDRESS
REQUIRED: If consigned to auction sale, please give name, date and mailing address of sale company.
FOR OVERNIGHT DELIVERY TO AQHA: 1600 QUARTER HORSE DR, AMARILLO, TX 79104 • MAILING ADDRESS: P.O. BOX 200, AMARILLO, TX 79168
WWW.AQHA.COM • ✆
806
-
376-4811 •
FAX: 806
-
349-6405 • EN ESPAÑOL: 806
-
373-2281
AQHA REGISTRATION NUMBERAQHA REGISTRATION NUMBER
BUYER’S NAME
BARCODE *TRANSF-0118* FORM 210-20-176 TRANSFER REPORT 8-19-2020
X
*TRANSF-0118*
CHECK MONEY ORDER
IF PAYING BY CREDIT CARD, PLEASE COMPLETE THE FOLLOWING:
CARD NUMBER
DO NOT SEND CASH • U.S. FUNDS ONLY
CARDHOLDER NAME
CARDHOLDER SIGNATURE BILLING ZIP CODE
DAYTIME PHONEEXP. DATE (MMYY)
AMERICAN EXPRESS
MASTERCARD
VISA
CREDIT CARD WILL BE BILLED FULL BALANCE OF SELECTED AND APPLICABLE FEES.
Dues payments MAY BE deductible by members as an ordinary and necessary business expense; however, contributions
or gifts to the American Quarter Horse Association are not deductible as charitable contributions for federal income tax
purposes. However, donations to the American Quarter Horse Foundation ARE tax-deductible to the extent allowed by
law. $1 of your annual membership dues is designated for a subscription to The American Quarter Horse Journal, AQHA’s
ofcial member publication. Through the payment of a membership fee to AQHA, I acknowledge that membership in AQHA
is voluntary and I agree to be bound by all the terms and conditions of AQHA’s Ofcial Handbook of Rules and Regulations.
FEES SUBJECT TO CHANGE WITHOUT NOTICE.
FEES
An ofce processing fee of $20 will be charged on all work not processed to completion.
OPTIONAL Member Non-Member
O
Special Handling for 2-day service
................. $100 . . . . . . . . . . . . . . . . . $100
This fee is in addition to the regular fee. Please place “RUSH” on the outside of the envelope.
O
OVERNIGHT U.S. ............................................................... . . . . . . . . . . . . . . . . . . .$35
O
OVERNIGHT International............................................... . . . . . . . . . . . . . . . . . . .$55
O
OVERNIGHT U.S. 2-Day Service................................... . . . . . . . . . . . . . . . . . . .$10