REGISTRATION APPLICATION FOR APPALOOSA

International Spotted Horse Registry
P.O. Box 412, Anderson, MO. 64831-0412
Phone: 417-475-MARE (6273) - Email: ishrppa@aol.com
SECTION 1: COMPLETE INFORMATION ON EQUINE TO BE REGISTERED
TYPE OR PRINT LEGIBLY - PICTURES TO BE CLEAR & SHARP - CORRECT FEES

EQUINES NAME:_____________________________________ SEX: S___ M___ G___

Horse:__ Pony:__(under 13.2h) Miniature:__(adult inches) Approx Age:__

DOB: MO__Day__Yr__(if known)  Color: Mane_____________ Tail___________

COLOR: Brown__Roan__Dun__Grey__Black__Grullo__Chestnut__Bay__Sorrel__
       Palomino__Buckskin__Perlino__Cremello__Champagne__Other__

APPALOOSA MARKINGS: Blanket__Leopard__Frost__Varnish__Snowflake__
                    Mottled__Other__ (check all that applies)
     (if not sure for above-ISHR will determine from pictures sent)

        BLUE EYES: ___Y ___N - Right Eye___ Left___ Partial___
REMARKS: list any unusual markings, scars, brands, and location:
______________________________________________________________________

Sire: (name/breed if known)___________________________________________
(if known, color/pattern/reg.#)_______________________________________
Ancestors (if known or copy of reg. cert.):
______________________________________________________________________

Dam: (name/breed if known)____________________________________________
(if known, color/pattern/reg.#)_______________________________________
Ancestors (if known or copy of reg. cert.):
______________________________________________________________________

Owner Of Equine___________________________________Phone_______________
Address___________________________________________Email_______________

AMT. ENCLOSED FOR REG.: $____________ Plus 4 Pictures (U.S. Funds)
($20.00 registration fee if already a member or becoming a member )
    (do not want membership - registration fee is $35.00 per horse)


OFFICE USE ONLY-DO NOT WRITE IN THIS SPACE

ACCEPTED: __Y __N    DATE RECEIVED:___________ ASSIGNED REG.#_________
ASSIGNED ISHR PERSONAL #:______ DISCOUNT APPLIED:__Y __N AMT PD:______
NOTES:________________________________________________________________



RETURN TO HOMEPAGE

Spotted Horse Registry Association

**IMPORTANT NEWS!! OUTSIDE U.S.A. FOR PAYMENT REQUIREMENTS

REGULATIONS SET FORTH BY THE INTERNATIONAL SPOTTED HORSE REGISTRY BANKING FACILITY NOW REQUIRES PAYMENTS MADE BY MONEY ORDERS (postal or other), CASHIER'S CHECKS, BANK DRAFTS,

MUST HAVE A FEDERALLY RECOGNIZED ROUTING NUMBER ON THEM!

NO EXCEPTIONS! ANY PAYMENT MADE MUST GO THROUGH CERTAIN BANKS FOR CONVERSION AND FOR THOSE FUNDS TO BE CONVERTED THE PAYMENT IN WHICH IT IS MADE MUST HAVE A FEDERALLY RECOGNIZED ROUTING NUMBER. IF IT DOES NOT - THE PAYMENT WILL BE RETURNED AND THIS WILL DELAY ANY PAPERWORK SENT IN TO REGISTRY UNTIL PAYMENT CAN BE MADE WITH THE CORRECT ROUTING NUMBER.

We are so sorry for this inconvenience - but we have been notified by our bank that they will start charging this registry $20/$25 for each payment that does not meet this criteria because of the conversion fee from the banks that do the converstions for them. We do not wish to up our rates for anyone outside of the United States, so it seemed much easier to go this way. This is why WE ARE STRONGLY URGING EVERYONE WHO CAN - TO PAY THROUGH PAYPAL!

THANK YOU - ISHR Accounting Dept.