2010 Powder Basin Equestrian Association

Membership/Renewal Form

Printable PDF Membership form

RENEWAL AFTER DECEMBER 31 MUST ADD $5 LATE FEE! (MSEA requires member list by then)

 

Ø   chapter member of Mountain States Eventing Association

Ø      access to all MSEA/USEA shows, functions, databases, website, members

Ø      Area 1X of United States Eventing Association

Ø      USEA/US Equestrian  Federation recognized horse trials annually

Ø      cross-country course open year round

Ø      schooling shows and clinics

Ø      access to stadium and dressage arena at Equestrian Park

Ø      club website (http://www.powderbasinequestrian,com

Ø      Omnibus of all recognized competitions in Area IX

 Date: ________________ New: __________ Renewal: ________________

Name: ______________________________________________________________________

Additional names, if family membership: _____________________________________________________________________________

Address: ________________________________________ Phone: ______________________

City: __________________________     State: __________Zip: __________________________

Birthdate (s): _____________________________________________Age: _________________

Horses name(s): __________________________        E-mail address: ______________________

Membership type:

 Family: ___________$35/year                   Individual: __________________$25/year

Please make check payable to Powder Basin Equestrian Association and mail to:

 

Teresa Craig

3200 Fitch Dr.

Gillette, WY  82718