Membership Application

Instructions: This form may be filled out and submitted online. If you experience trouble submitting, you can fill the application out online and print for mailing.

Renewal New Membership	Individual Membership - US $49.00 Individual Membership - Canada $75.00
Date:	Current USTPA rating:

Last Name
First	MI
SSN
Address
City
State	Zip
Day Phone
Evening Phone
E-Mail

If not USTPA rated, please select one from each heading.
Horse Ability:	Team Penning Success:	Team Penning Ability:

Riding Ability	Team Penning Experience	Access to Partners

Add to Mailing List: Yes No

NRSI rankings calculated on certified shows only, from January 1 to December 31 of each year. Please look for the NRSI seal!

National Ranking Systems
International, Inc.
P. O. Box 1404
Kosciusko, MS 39090
Phone: (662) 289-0753
Fax: (662) 289-0755
E-mail: nationalrankings@bellsouth.net