2008 NORTHERN WEST VIRGINIA QUARTER HORSE ASSOCIATION


EXHIBITOR’S INFORMATION

Name: _______________________________________________________________________________

Address: ______________________________ City, State, Zip: ________________________________

Phone # _______________________________ E-Mail: _______________________________________

Date of Birth: __________________________  Open ___ Amateur ___ Novice Youth ___ Youth ____

AQHA # ______________________________  Expiration Date: ______________________________


HORSE’S/OWNER’S INFORMATION

Horse Name: _____________________________________ Registration Number _________________

Year Foaled: _______________________  Stallion: _________ Mare: _________ Gelding:_________

Owner’s Name: _______________________________________________________________________

Owner’s Address: ______________________ City, State, Zip: ________________________________

Owner’s Phone #: ______________________  E-Mail: _______________________________________

Responsible Party for Entries: __________________________________________________________



Please complete all information for both Exhibitor and Horse.
NWVQHA needs to have this completed information for their files.
Please attach a copy of your horse’s registration and coggins papers.
Please Mail to:
Cheryl Aricprete
RR 5, Box 1158
Salem, WV  26426

Or Return to:
NWVQHA Show Office