Print the number of applications needed or Tab through the blocks to Fill in information & Print   
Effective  November 1, 2014  Register any age  only $18 per horse   A-34" and under   B-over 34"-38"  
 Original Open Registry Period ended in  2004.  WCMHR has reopened the Registrations
at one low price  due to popular demand.  Offer may end without notice.

Mail or Fax to: WORLD CLASS MINIATURE HORSE REGISTRY, INC. 12009 Stewartsville Rd., Vinton, VA  24179 USA
540-890-0856  Fax: (540) 890-1043    Current Membership  is required to register                                               

Horse's Name

Foaling Date
 Sex: Mare, Stallion, Gelding     Ht.
Other Registry #s if applicable

Body Color
Check if Pinto Appaloosa
See Horse Colors 
     Mane Color Tail Color
Markings (if any)

Indicate color &  markings  on horse outlines.
Draw a line across legs where white  (if any) ends. Draw and label any other white areas including face markings (if any.)
Photos are optional except for Hardship. Digital Photos are acceptable.1 of each side and front.


If pedgree information cannot be documented, leave blank.
Breeder and Location if known:

Sire's Name, Registry, and Height  Fill in if information is known



Dam's Name, Registry, and Height  Fill in if information is known

Owner's Name
Membership No if known or assigned   
Current Member  New Member Renew
Farm name


City, State, and Zip
Country Tel

Mail is US Funds to WCMHR, Inc., 12009 Stewartsville Rd., Vinton, VA  24179 USA Tel./Fax (540) 890-0856     
Do not fill in credit card on line.  Print form and then fill in credit card information before mailing or faxing if charging to
a Visa, Mastercard, Discover or American Express.                   

check/mo order    Payable in US Funds only.  Write US beside the Amount on a Check Money orders in US Funds only
Visa    MC  Discover    American Express Security code is 4 digit on front right top

  No. ________________________________________________________exp. date ____________   Security Code___________

Cardhardholder's name _____________________________________Signature______________________________________Date_________
Print the number of applications desired  or   click here for another  application to fill in online
 or save time by    by Registering Online .