NC Hunter Jumper Association
Secure Payment Form
Please completely enter all information and allow up to 5 business days for processing of your horse recording.
Horse Information:
Order Date:
03/19/24
Horse Recording Type/Amount
(includes processing fee):
Select One
Horse Recording $31.00
Horse Recording with Lessee $41.00
Horse Lease Only $11.00
* Horse/Pony Name:
** Owner Name:
** Lessee Name:
Horse Sex:
Select One
Mare
Gelding
Horse Breed:
Color:
Height:
* Horse Recordings are lifetime so you do not need to re-record your horses.
** Either the Horse Owner or Lessee entered here must be a current NCHJA member. If a membership has not been previously submitted you will be contacted by the NCHJA office. Horse Recordings are lifetime so you do not need to re-record your horses.
Credit Card Information:
Card Type:
Visa
MasterCard
Discover
Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date:
MMYY
Card ID (CVV2/CID) Number:
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What is the Card ID?
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Billing Information:
First Name:
Last Name:
Address:
Address Line 2:
City:
State:
Zip:
Phone Number:
Email Address: