Show Name(Required) Date(Required) MM slash DD slash YYYY Rating(Required) Location(Required) Show Manager(Required) Secretary/Contact(Required) Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CONTACT INFORMATION FOR CPJHSA AND WEBSITE:Phone For Information(Required)Email(Required) Website(Required) Results will not be processed if the application and all fees are not received before the start of the horse show. Show Manager must be a current member of the CPJHSA. Application must be received at least sixty (60) days prior to the start of the show, or A 100% penalty ($50) will be assessed. Results must be reported electronically, within ten (10) days of the conclusion of show in the appropriate format. Failure to do so will result in the results not being processed. Results should be e-mailed to [email protected] and should include a PDF report for comparison. User name and password will be mailed if you use ShowPro. Nonnegotiable funds will be subject to a returned check fee of $30. Future dates will not be awarded to any show owing the CPJHSA money.Agreement(Required) I have read and agree to the above Mailing List will be sent via e-mail. Enter the date you would like to receive it by:(Required) MM slash DD slash YYYY Show DuesMailing A Check I would like to mail a check Total Returned checks will be assessed a $30 fee.Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name CAPTCHA Δ
