Kentucky Thoroughbred Association, Inc.
Kentucky Thoroughbred Owners and Breeders, Inc.
4079 Iron Works Parkway
Lexington, Kentucky 40511-8483
(606) 381-1414/(606) 259-1643/Fax (606) 233-9737

Information Update
Trainer: Annual Membership - $10.00
Owner: Annual Membership - $100.00
Breeder: Annual Membership - $100.00
Associate Member (non-voting): Annual Membership - $200.00
Membership Information
First Name:
Last Name:
Firm/Farm/Stable:
Address 1:
Address 2:
City:
State:	AlabamaAlaskaAmerican SomoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HamphireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip:
Telephone:
Fax:
Email:
Website:
1. Can this e-mail address receive bulk e-mails? Yes No
2. Is it required to call you before sending a fax? Yes No
3. What county in your state do you/your business reside in?
4. Please check all of the following that you/your business is: (ie. if you use one of the following but are not one, please do not check) Association Blacksmith Bloodstock Agency Breeder Consignor Farm Insurance Owner Publication Race Track Tack/Supplies Trainer Training Center Vanning Service Veteranerian