PERC Membership Application

 Parker-Elizabeth Riding Club

  P.O. Box 518

  Parker, CO 80134

www.peridingclub.com


Name(s)_____________________________________________Birth Month_____________

            ______________________________________________Birth Month____________


Address_____________________________________________________________________          
          

Phone: (h)   _______________________(w)_______________________________________

e-mail _____________________________________________________________

 

PERC prints a member roster each spring in the Saddlebags newsletter with 
names, addresses, and phone numbers listed.
 
Do you want your address and phone number published?  Y       N         

 

Membership Dues -           Individual Membership:    $30.00 per year 
                                          Family Membership:          $50.00 per year

                                          (includes all children under 21 years)

New ___________  Renewing_____________Family______Individual______

Number of horses owned/leased ____ 
Riding level:   Beginner ____ Intermediate ____  Advanced ____

Number of years riding horses ______ 
Are you willing to work on a committee?   Yes ____No  ____

 
Make checks payable to:  P.E.R.C.   


Simply print it, fill it out and mail it in or bring it to our meeting! 

Email us if you have any questions at 
info@peridingclub.com

 





 


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