It's easy to become a member of the EZ Riders. Simply print the following information and fill in the blanks.

2010 MEMBERSHIP FORM

Note: DOB is required on all members per WSCA guidelines!!!!!!

Name______________________________________

Address____________________________________

Phone number_______________________________

Email______________________________________

NAMES AND AGES OF JOINING MEMBERS:

NAME________________________DOB_____

NAME________________________DOB_____

NAME________________________DOB_____

NAME________________________DOB_____

NAME________________________DOB_____

FAMILY MEMBERSHIP $20
SINGLE ADULT $15
18 AND UNDER $10

Membership Cards will be issued and must be presented at EZ Riders Horseshows. One card will be issued per family, unless specifically requested as cards for each family member.

SEND PAYMENT AND FORM TO: SANDRA WOERLE, PO BOX 121 BRULE WI 54820