San Mateo      
    County       
               Horsemen's
               Association                2008 Membership Application

P.O. Box 620092
Woodside, Ca 94062                                                                                   

  FOUNDED 1940         

 

Name _________________________________________  Telephone ______________________
Address ___________________________________________________
City ______________________________________  State __________  Zip Code _________
Email Address  ______________________________________  

 

I would like to help with the following events/functions:
A Board of Directors G Magazine M Membership
B Trails H Trail Rides N Publicity
C Western Riding Clinic   I Junior Members  O Junior Color Guard
D English Shows J English Riding Clinic P Senior Color Guard
E Western Shows K Playday
F Programs L Hospitality
Other __________________________________

Do you want to be included in our Membership Directory?  ______Yes   ______No

 

Please make checks payable to SMCHA NEW  RENEWAL
Annual dues are for January 1st through December 31st of each year.   Join after October 1 for membership through the following year. ___Junior (17 or under) @ $15.00 _______
___Senior (18 or older) @ $25.00 _______
I would like to contribue to the following events or functions listed above in the following amounts:
  		___Mr./Mrs.  @ $40.00 _______
___Family (married or single parent + children 17 & under) @ $45.00 _______
B $___ C $___ D $___ E $___ F $___
G $___ H $___ I $___ J $___ K $___ Total Contributions ______
L $___ N $___ O $___ P $___ Other $___ Amount Enclosed   ______

YOUR CANCELLED CHECK IS YOUR RECEIPT.