American Sidesaddle Association Membership Application or Renewal Form
The American Sidesaddle Association (ASA) Membership Application and Membership Renewal form
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Email *
First Name *
Last Name *
Age (if 18 or younger)
Street Address *
Street Address 2
City, State, Zip *
Phone# *
Select Membership Level: (you will receive a PayPal Link upon completion of this form, or you can mail a check to Vicki Pritchard, ASA Membership Chairperson, 355 Sunset Drive, Chillicothe, Ohio, 45601) *
Family Membership, if desired (membership as above, with additional $5 for each family member. Please list Names and Ages)
How will you be Paying? *
Select a Regional Club (only one from the list below) You must be a Member of a club, but you can participate in the activities of any of the other clubs. *
Are you currently an American Sidesaddle Accredited Instructor (JIC)?
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