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MEMBERSHIP APPLICATION
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One of the following types of memberships must be
chosen upon sign-up.
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WORKING MEMBERSHIP - All members must complete the
required amount of volunteer hours for the year.
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BECOME
A FRIEND OF LOS VALLECITOS RIDERS AS A SUPPORTING MEMBER!
We welcome non-riders, city dwellers
and horse lovers of all ages.
YES! I would like too help. My
expertise is: _________________________________
Name: ______________________________
Phone: _____________________________ $10
or my contribution of $________
WE NEED YOUR SUPPORT NOW!
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$20 JUNIOR - (17 years
of age or young). 10 volunteer hours required
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$25 SENIOR - (18 years of age or older). 10 volumteer
hours required.
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$30 FAMILY - (consists of parents and children of same
household). 15 volunteer hours required.
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NON-WORKING MEMBERSHIP - Volunteer hour not required
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$40 JUNIOR - (17 years and young). |
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$50 SENIOR - (18 years of age or older). |
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$60 FAMILY - (consists of parents and children
of same household). |
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List Favorite Discipline(s):
_________________________________
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____________________________________________________
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| List the names of applicants (including date of birth
for juniors): |
MAILING ADDRESS: |
| 1. ____________________________________________ |
Name: ___________________________________ |
| 2. ____________________________________________ |
Address: __________________________________ |
| 3. ____________________________________________ |
City & Zip: _______________________________ |
| 4. ____________________________________________ |
Phone Number: ____________________________ |
| 5. ____________________________________________ |
E-mail: ___________________________________ |
| Referred by:____________________________________ |
Fax: ______________________________________ |
| Mail to: |
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| Los Vallecitos Riders, P.O.Box 462320, Escondido, CA 92046-2320
Attn: Secretary |
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Signature:
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____________________________________________ |
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