Wyoming Mustang Association Membership Form

Wyoming Mustang Association

Membership Enrollment Form
Bringing wild horse enthusiasts together within Wyoming.

As a member of the WMA, you will enjoy discounted show fees, access to organized events such as clinics, trail rides, HMA informative group rides, discounted merchandise, and much more!

Members will receive a member number and membership card, as well as an association shirt upon enrollment.

Complete the application below to become a member. You can pay your membership fee below or send check or money order to:

Wyoming Mustang Association, c/o Kirren Seiler, PO Box 457, Wellington, CO 80549

For questions, comments or concerns, please contact us:

Phone: 970-305-0531

Email: wyomingmustangassn@gmail.com
Member Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Division
Are you purchasing a family membership (up to four, immediate family members) or do you have additional children or individuals that will use the same information as above?
Additional Family Member Information
Family Member #2 Name:

First NameLast Name
Family Member #2 Birthday:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Family Member #2 Division:
Family Member #3 Name:

First NameLast Name
Family Member #3 Birthday:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Family Member #3 Division:
Family Member #4 Name:

First NameLast Name
Family Member #4 Birthday:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Family Member #4 Division:
Horse #1 Information
Name:
HMA:
Year of Birth:
Horse or Burro?
Male or Female?
Photo of Horse or Burro:

Browse Files

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Do you have another horse or burro you would like to register?
Horse #2 Information
Name:
HMA:
Year of Birth:
Horse or Burro?
Male or Female?
Photo of Horse or Burro:

Browse Files

Cancelof
Do you have another horse or burro you would like to register?
Horse #3 Information
Name:
HMA:
Year of Birth:
Horse or Burro?
Male or Female?
Photo of Horse or Burro:

Browse Files

Cancelof
Do you have another horse or burro you would like to register?
Horse #4 Information
Name:
HMA:
Year of Birth:
Horse or Burro?
Male or Female?
Photo of Horse or Burro:

Browse Files

Cancelof
Membership Selection & Payment
Select the type and number of yearly membership you are wanting to purchase. A family membership includes up to 4 immediate family members. Then select whether you would like to pay via PayPal online or send a check for your membership fees.

*By choosing PayPal, you agree to pay a small transaction fee in addition to the WMA membership cost (Individual Membership: $21.00, Youth Membership: $16.00, Family Membership: $62.00). A PayPal invoice will be sent to the email you provided in your membership application. You can then pay the invoice electronically via your PayPal account.
Type of Membership:
How would you like to pay?
Please send a check for your membership total to:

Kirren Seiler, PO Box 457, Wellington, CO 80549
Membership Total:
prevnext( X )
Individual Membership$21.00

Youth Membership$16.00

Family Membership$62.00

Total $0.00
Should be Empty:

Wyoming Mustang Association

Member Information

Additional Family Member Information

Horse #1 Information

Horse #2 Information

Horse #3 Information

Horse #4 Information

Membership Selection & Payment

Membership Total: