PINCKNEY TRAIL
RIDERS ASSOCIATION
MEMBERSHIP
APPLICATION
www.pinckneytrailriders.com
NEW _____
501(c)3
RENEWAL
_____
Last
Name_______________________________ First Name
_______________________________
_____Single
Membership ($20/year)
_____ Family Membership ($25/year)
____ Pet Member ($10 ea.) Receives
bandana
(List
all names to receive a members’ card)
Address_______________________________ Spouse’s
Name________________________
City
_________________________Zip_______
Children’s Names (under age 18):
Phone
________________________________
______ Club/Association
Membership ($30)
Phone
________________________________
Club/Assn
Name: ______________________
Email
_________________________________
____ I own
(or lease) a
horse. (Do not
have to own a horse to be a member.)
You
will receive PTRA info by email if available or by USPS if no email
address
provided.
Membership runs for 1 year,
April 16
to April 15.
Please check or answer the
following:
_____I
like
to ride with others anytime and would like to be on a “Ride
Buddy” phone list
and give
my
permission to have my name and contact information listed on PTRA
website.
Availability: ____mornings ____afternoons ____evenings
____weekends only
_____I
would
like to participate but need horse transportation.
_____I
am
willing to provide horse transportation (within reason).
I would be interested in
helping with
the following checked activities:
____Board/Committee
____Newsletter
____Clinics ____Expos
____Work
bee/trail projects ____Cookouts/parties ____I
just wanna ride
____
Other______________________________________________
________________________________________________________________________________
Please
make checks payable to Pinckney Trails
Riders Association (or PTRA) and
mail to: 11185
________________________________________________________________________________
I
hereby release Pinckney Trail Riders Association and it’s
officers and directors of any and all liabilities for personal
loss/injury, and/or
property loss/damage of any kind. I
accept all responsibility for myself, family members, and personal
property. Parent or Legal Guardian
signature required
for children under 18 years of age.
Signature________________________________________
Date_____________________
REFERRED
BY:
_____________________________________________
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TRAIL
MAINTENANCE CONTRIBUTION (TAX DEDUCTIBLE)
____$50
____$40
____$30
________
Other Amount
Name:________________________________
Email address _____________________________________
Mail
stub with your contribution to the above address. Your
cancelled check is your receipt. Thank you
for your support!