Premium checks will be made to registered owner of the horse.
*** FEE RECEIVED AFTER
GRACE PERIOD IS SUBJECT TO A PENALTY FEE. ***Please contact the NCHA Office for the Penalty Fee.
*** Class and Fee must be selected before entry is VALID. ***
*** FEE RECEIVED AFTER GRACE PERIOD IS SUBJECT TO A PENALTY FEE. ***
Please contact the NCHA Office for the Penalty Fee.
* Includes a $50 NCHA fee, $15 Drug Fee and voluntary PAC Fee. # Includes a voluntary PAC Fee.
(PAC Fee = $100 for Open, $75 for Non-Pro, $20 for Limited Non-Pro, $20 for Amateur, $20 for Unlimited Amateur)
Funding the PAC is important to be able to maintain state funding at the NCHA Triple Crown.
Select this option to opt out of PAC Fee. Additional PAC Fee Contribution
Premium checks will be made to the Registered owner of the horse. S.S. or Corp. ID must be on file with NCHA.
*The Internal Revenue Service is now requiring NCHA to withhold income tax on premium monies won at a rate of 28% on all taxpayers who do not provide a
Taxpayer identification Number (Social Security No. or Business ID No.). Please be sure to provide this information to NCHA accounting department.
Grand Total : $
If "YES" is not selected then this application will not be accepted.