PINE AND SPURS RIDING CLUB, INC.

2008 MEMBERSHIP FORM

Name: ________________________________ Phone: ___________

Address: __________________________________________________

____ RENEWAL (must be paid in full by MAY 31 to qualify for year end awards!!)

____ NEW (may join at any time but only points accumulated after payment will count)

DUES: Please check one

____Youth (under 18 years of age) $10.00 (no discount )

___ Single $15.00 ($12.50 if paid before March 31)

___ Family $30 ($25 if paid before March 31) ** Note that family includes all children UNDER the age of 18. Over 18 must join under single member.

Names of members in family: (Please list youth member’s age)

____________________

____________________

_____________________

_____________________

______________________

Signed: _______________________________ Date: _______________

**** Parent or Guardian must sign for members under 18. 

Please also note that a rider’s age is calculated AS OF JANUARY 1 of each year. Whatever age you are on Jan. 1 is the age for that year. (Example: If you are 17 on Jan. 1 and your birthday is Feb. 4, you are a 17 year old for the show season)

Rec’d: _______________ Amount paid: ______________

Mail to: Arlene Wright

25 Presque Isle Road

Ft. Fairfield, ME 04742

Make Checks payable to: Pine and Spurs Riding Club Inc.