SCEA Membership Application

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This is a data collection form - you will select your membership level again in the next section when you pay.

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 *

First Name *

Street Address *

City *

State *

Zip Code *

Phone Number

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)

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