Application for Registration of Lease

Horse's Registered Name*

AHR Registration Number*

Leased To*

First

Last

Leasee Address*

Street Address City State / Province / Region Postal / Zip Code

Leasee Email

Leasee Phone*

Conditions of Lease*

Lease Begin and End Dates (mm/dd/yy)*

Owner/Lessor Name*

First

Last

Lessor Address*

Street Address City State / Province / Region Postal / Zip Code

Lessor Email*

Lessor Phone*

Owner/Lessor Signature (please type your name in ALL CAPS to denote your electronic signature)*

Lease Recording Fee (select one)*

Current AHR Member, lease recorded within 90 days ($20)

Current AHR Member, lease recorded after 90 days ($20 + $25 late fee)

Non-Member, lease recorded within 90 days ($85)

Non-Member, lease recorded within 90 days ($85 + $25 late fee)

American Haflinger Registry