Online Membership Form
(Applicant Must Be 18 Years Of Age)
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Indicates required field
Choose One
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NEW Membership
RENEWAL
Choose One Type of Membership
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FAMILY Membership ($35.00 per year)
SINGLE Membership ($30.00 per year)
DUAL Membership ($20.00 per year)
(For DUAL Membership applicant MUST BE a paying member of S.F.T.R. Broward)
Name 1
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Name 2
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DOB 1
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DOB 2
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Name 3
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Name 4
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DOB 3
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DOB 4
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Address
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Email
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City
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State
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Zip
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Do you want your phone number published?
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Yes
No
Occupation
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Telephones:
Home
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Work
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Cell
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Name and Date of Birth of all Family Members
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Name and Lastname 1 - DOB Name and Lastname 2 - DOB
Horse Interests:
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Trail Ride
Parades
Camping
Shows
Breeding
Would you be willing to help transport others?
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yes
no
If yes, what is the trailer capacity?
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How many horses do you have?
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Do you want to receive your newsletter by e-mail? (Must have dsl, cable, etc.)
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Yes
No
Referred by:
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Warning: Under Florida Law, An Equine Activity Sponsor or Equine Professional Is Not Liable For An Injury To, Or The Death Of, A Participant in Equine Activities Resulting From The Inherent Risks of Equine Activities. (Florida Statutes 773.01 - 773.05). I will abide to club safety rules and give consideration to my fellow club members.
Date
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Signature: (type your name here)
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Applicant must be 18 years of age or older. All listed names above must reside at the same address.
I
mportant Note:
Pay for current year only click on
Pay Now
, or choose to renew automatic every year by clicking on
Subscribe
.
You can unsubscribe it any time.
CONTINUE TO PAY WITH CREDIT CARD OR PAYPAL
