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SCEA Membership Application
This is a data collection form - you will select your membership level again in the next section when you pay.
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Email
*
Your email
Please select a membership level:
*
$25 Annual Membership - Liability insurance is not included.
$45 Annual Family Membership - Liability insurance is not included.
$55 Annual Horse Club Membership - Liability insurance is included.
$80 Annual Horse Club Family Membership - Liability insurance is included.
Required
Last Name
*
Your answer
First Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
Your answer
Please select all ways you are willing to help:
Monetary donation
Hay or feed donation
Fundraising
Trailering (please indicate size of trailer, i.e. 2 horse, 3 horse etc. in comment box)
Foster horse
Adopt horse
Assist with horse care
Provide short-term emergency shelter (please indicate how many horses in comment box)
Professional services (please explain in comment box)
Comments
Your answer
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