The California Range Riders Membership Application 2010

http://www.CaliforniaRangeRiders.com

 

Rider # 1  _________________________________________________________  CMSA #  ______________

 

Alias: _____________________________________________________________  SASS #    ______________

 

Rider # 2  __________________________________________________________ CMSA #  ______________

 

Alias: _____________________________________________________________  SASS #   ______________

 

Rider # 3  __________________________________________________________ CMSA #  ______________

 

Alias: _____________________________________________________________ SASS #    ______________

 

Rider # 4  __________________________________________________________ CMSA #  ______________

 

Alias: _____________________________________________________________ SASS #    ______________

 

(If under 18, birthdates) ____________________________________________________________________

 

Parent or Guardians signature:  ______________________________________________________________

 

Address:  _________________________________________________________________________________

 

Phone #  _________________ cell # _________________email:  ____________________________________

 

Other club affiliations:  _____________________________________________________________________

 

Main member fee:  __________________  @ $50.00  _____________________________________________

 

Family membership (up to 4):  ________________  @ $80.00  _____________________________________

 

Member at large (Associate, non rider): _____________ @ $25.00 each _____________________________

 

There is a discount to join CMSA through our club

 

Will you be joining CMSA today?  Indiv $60.00  __________  Family $90.00  ________________________

 

Will you be joining SASS today?    Indiv $55.00  ________________________________________________

 

Paid by:  Cash  $ _________________  Check:  ________________  Check #  ________________________

 

Total:  ___________________________________________________________________________________

 

Make check payable to CRR and  mail to:            Judy Stewart

  2480 Day Road

  Gilroy, Ca. 95020

                                                          Or email:  calgirl101ranch@aol.com    

 

More info:      Old Buckaroo     408-710-1616       oldbuckaroo7@aol.com