Note: This information is used to compile the SSMHA Directory, Please fill in the form COMPLETELY

Name Farm
Address1 Address2
City State Zip
Phone Fax AMHA #
Website Email

Family Membership
Spouse Name:
Child Name ( Under 18) Child Date of Birth

Type Unit Price   Quantity Sub Total
  Total Enclosed:
Adult Membership @ $10 each: x =
Family Membership @ $20 each: x =
Junior Membership @ $20 each: x =
Horse Listing @ $0.5 each: x =
Family membership includes 2 adults and all children 18 and under.
Horses may be listed in the membership directory at $0.50 per horse. List horses below. Please include horse’s registered name, sire, dam, gender, color, and year foaled. Please note if the horse is standing at stud, for sale or lease.

Please send membership form & Payment to:
Laura Ward, SSMHA Treasurer, 1313 Valley Road, Yukon, OK 73099

*** Checks must be made to SSMHA ***


Horse Listing
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Yr Foaled Gender Stud/Sale/Lease
Reg. Name: Color:
Sire: Dam:
Please use your web browser Print feature to print competition result once the form is filled in completely.

Or, click Here to download blank Membership form.

SSMHA Membership Application


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