Office Use Only: Date App.

Recd: ________ Date Dues Paid: _________

WHISPERING PINES CHAPTER OF SOUTH WIND DRESSAGE AND EVENTING ASSOCIATION

http://swdeaga.org/
This Organization is a Chapter of a USDF Group Member Organization. Individual/Primary and Junior/Secondary members of this organization are automatically USDF Group Members.

This application is:

New (Initial)

or a

Renewal

Name:_____________________________________ Birth Date:___________ Address: __________________________________ Phone: ______________ City: __________________________ State: ____ Zip: ___________

Cell phone: _____________________ Email: _________________________ I apply for membership in the Whispering Pines Chapter and agree to be bound by the Constitution and By-Laws, and rules, regulations, decisions, and motions lawfully adopted under said Constitution and By-Laws of the Association. I understand that joining as a Local Member does NOT entitle me to membership or benefits under the South Wind Dressage and Eventing Association Group Member Organization or USDF. Date: __________ Signature:____________________________________________
(If you are under the age of eighteen years, the application must be signed by you and your parent/guardian.)

Printed Name of Parent/Guardian: ______________________________________

(Necessary if Signer less than eighteen years of age)

Signature of Parent/Guardian: __________________________________________________ Membership Type/Dues: (due annually before November 1st) Local Only ($20.00) competing member of Whispering Pines Chapter only; will not be a GMO or USDF member and therefore will not receive a member number or magazine subscription. Entitled to full voting rights within SVC, may hold chair positions, pay member rates at events, and eligible for chapter year-ends awards. Non-Competing Local Member ($10.00) non-riding member of Whispering Pines Chapter only; will not be a GMO or USDF member and therefore will not receive a member number or magazine subscription. Entitled to full voting rights within SVC, may hold chair positions, and eligible for volunteer points/awards within chapter.
Send To: Nanci Kendall 5203 Phillips Rd Revised 10/27/10 Valdosta, GA 31601 Email: nanci_kendall@hotmail.com

Make checks payable to: Whispering Pines

Revised 10/27/10