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Prefer to mail yours in? Click here to download the  2020 Membership and Year End awards Application

Year End Awards Information? Year end awards information click here

On Line year End Awards form?  Click here

Membership Application Information Form

CONTACT INFORMATION

Name:*
Birthdate (Jr/YR only):
 / 
 / 
Farm/Business Name:
Address:*
Phone:*
-
E-mail:*
Omnibus Options

MEMBERSHIP CLASSIFICATION

Membership Type:*

 Riders under 21 or turning 21 during the current show season ride as a Jr/YR.

Rider Status:*

MEMBERSHIP FEES

Additional family member is for members living in the same household as a primary member.*

HORSE REGISTRATION

First Horse Name:
Second Horse Name:
Third Horse Name:
Radio:

Notice about Refunds-  Paypal will no longer refund the service fee that was included in your payment

TOTAL

Total membership and horse registration fees:
Word Verification:

Questions with an * must be answered or the form will not get submitted.

Payments-  If you are not connected automatically to Paypal when you submit your registration then you will need to make note of the total due.  Go to your paypal account and pay amount due to info@glass-ed.org.  thank you for your patience while I work to correct the connection

 

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