BRITISH COLUMBIA
THERAPEUTIC RIDING ASSOCIATION

2012 MEMBERSHIP FORM

Individual: $10.00 per year

Name: ____________________________________________

Address with Postal Code: ____________________________________________

______________________________________________

Telephone # __________________ Fax: ___________________

Email address ____________________________

I am a: Volunteer _____ Instructor ____ Rider _____

Please tell us which group you are involved with if applicable:
 

MEMBER RIDING GROUP: $30.00 per year

Name: _____________________________________________________

Address with Postal Code:: _____________________________________________________

_____________________________________________________

Telephone # __________________ Fax: ___________________

Email address ____________________________

Contact Person’s name: ____________________________________________
 

___ YES,  please mail me a TAX DEDUCTIBLE RECEIPT. (#0718906-56)

DONATIONS in any amount are always welcome.

Make Cheques or Money Orders payable to BCTRA and mail to:

BCTRA
c/o Stella French
4481 Leefield Road
Victoria, B.C.
V9C 3Y2

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