Affiliation Fees Name of Show* USEF Affiliated?* Yes No USEF Number* Name of Sponsor* First Last Website Exact Location* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Type of Show Hunter/Jumper Breed Open Medals & NEHC Pleasure Only. USEF affiliated shows only. Please specify breed Requested Show Dates Please see Rule book “For Application for Show Affiliation” and “Show Date Rules.”(All information will be mailed to the show Secretary unless otherwise specified)Name of Show Secretary* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Name of Show Manager Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code REQUEST FOR MAILING LABELS: Send an email to the office when labels are needed.How would you like to receive your list via email: Excel Label Form (For you to print on Avery 5160) Will your show hold NEHC Pleasure Horse Class?*$15.00 Per Entry Please send fees with show results. **Affiliation Fees shall be tripled for shows which do not offer the NEHC Pleasure Horse Class. Yes No Fee Quantity Price: $15.00 Quantity One Day Show Quantity Price: $50.00 Quantity One Day Show Quantity Price: $150.00 Quantity Two Day Show Quantity Price: $75.00 Quantity Two Day Show Quantity Price: $225.00 Quantity Three or More Day Show Quantity Price: $125.00 Quantity Three or More Day Show Quantity Price: $375.00 Quantity Proposed Prize List Enclosed?*If no, please send one (1) copy of the proposed prize list 45 days BEFORE printing and distribution to the Prize List Editor or a $50.00 fine will be issued: Send to: Kathi Dunn • 28 Oak Hill Drive • Hampstead, NH 03841 kathi@nehc.info • 603.887.6342 Yes No Upload Prize ListMax. file size: 256 MB.NEHC MedalsThe fee for NEHC Medals is $5.00 per entry. Please send fee with show results. Please indicate medals you will run at shows, so it will be listed on Website. NEHC Junior Hunt Seat Medal Class NEHC Adult Hunt Seat Medal Class NEHC Saddle Seat Medal Class NEHC Junior Stock Seat Medal Class NEHC Adult Stock Seat Medal Class NEHC Junior Hunt Seat Pleasure Medal Class NEHC Adult Hunt Seat Pleasure Medal Class Total $0.00
