Membership Application / Horse Nomination Form

Syracuse Chapter of the Professional Horsemen’s Association of America

Membership Application / Horse Nomination

Submit your membership/horse nomination through the online forms below, or download a PDF (2023–24 Syracuse PHA Membership Form), print, and mail.

PLEASE NOTE: there are TWO separate Forms REQUIRED. You MUST submit the Membership Form* and then come back to this page for the Horse Nomination Form**.

Follow these three easy steps:

1. Pay the appropriate fee via PayPal or Venmo.

PayPal: syracusepha@gmail.com

Venmo: syracusepha@gmail.com

2. Fill out the Membership form.

3. Fill out the Horse Nomination form(s), with a separate submission for each horse.

Note: MEMBERSHIP AND NOMINATION FEES MUST BE RECEIVED BY THE PHA SECRETARY BEFORE ANY POINTS WILL BE COUNTED. NOMINATIONS RECEIVED BY JANUARY 1ST WILL EARN POINTS FROM DECEMBER 1ST.

*Membership Form (Don’t forget to pay for your membership and your nominations)

Membership Levels

Professional Membership $50

Associate Membership $40

Business Membership $40

Junior Membership $30

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of Birth

MM

DD

YYYY

Membership's Signature

Trainer or Stable

First Name

Last Name

Email

Message

(Don’t forget to pay for your membership and your nominations)

MEMBERSHIP AND NOMINATION FEES MUST BE RECEIVED BY THE PHA SECRETARY BEFORE ANY POINTS WILL BE COUNTED. NOMINATIONS RECEIVED BY JANUARY 1ST WILL EARN POINTS FROM DECEMBER 1ST.

Syracuse Chapter of the Professional Horsemen’s Association of America