Direct CQHA Members Form CQHA Membership Application Print/PDF CQHA On-Line Direct Membership Application Form Date of Application Invalid Input Full Name(*) Please type your full name. Additional Family Members Invalid Input Minor Children Names and DOB Invalid Input Address(*) Invalid Input Province(*) AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Invalid Input City(*) Invalid Input Postal Code Invalid Input E-mail Invalid email address. Phone Invalid Input Fax Invalid Input I agree to keep the CQHA advised of changes to my email address, to ensure I receive notification of Annual General Meetings. Invalid Input I wish to receive email communications about the Canadian horse industry direct from CQHA. Invalid Input Membership Fee Single Membership $10.00/year - 10.00 CADFamily Membership $15.00/year - 15.00 CAD Invalid Input I Am Human(*) Invalid Input
