NAME: ______________________________________________________________________________
Address: __________________________________________ City____________________ Zip________
Phone (_____)_________________ Evening (_____)________________ Cell (_____)________________
E-Mail Address: ________________________________________________________________________
May we list you as a member on our website? YES / NO May we include your: 1st Name / Last Name
Please circle what we can provide to our members only: 1st Name / Last Name / Email / Phone / Address
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PLEASE SELECT ONE:
___ PARTICIPATING MEMBER. You must be a Participating Member of WCDEA in order to have voting
privileges, hold office, and enjoy discounts for our shows and clinics. The membership fee is $30 per
year and includes email delivery of our monthly newsletter. You may request snail mail delivery of the
newsletter for an additional $5. Family members may be added for $5 per person.
Please list additional family members to be added to your membership below:
____________________________________ ____________________________________
____________________________________ ____________________________________
___ SUPPORTING MEMBER. If you do not have the time or interest in becoming involved as a Participating
Member, you can still help support the educational goals and activities of WCDEA and its members for
$15 per year and includes email delivery of our monthly newsletter. You may request snail mail
delivery of the newsletter for an additional $5.
___ NEWSLETTER SUBSCRIPTION ONLY. Fee is $10 per year for email delivery and $15 per year for snail
mail delivery.
Make checks payable to WCDEA and mail to:
Kerstin Lycan, P.O. Box 30308, Bellingham, WA 98228
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We are always in need of volunteers! No experience is necessary, just your enthusiasm and willingness to
help. Please mark the committee that interests you most:
___Shows ___Clinics and Education ___Sunset Equestrian Park ___Calendar ___Wherever needed!
WCDEA - 2012 MEMBERSHIP APPLICATION
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