MEMBERSHIP FORM

                                                  SILVER SPUR RIDING CLUB, INC.
                                                  WEST RIVER ROAD, SIDNEY, MAINE
                                                          ESTABLISHED 1950
                                                                          2008
The application must be accomplished by the membership fee and have an accurate address for mailings.  If you want
your mailings and/or notices to come by E-mail, please write your E-mail address clearly below.  It is important that if
the applicant is a minor and wants individual membership that he or she write age and date of birth (DOB); this is
required for membership.


Membership Fee Family: $25.00______    Individual: $20.00________

New Member: ______          Renewal (was a member in 2007) _______

New Member Sponsored By:
__________________________________________________________

Complete all information (please print clearly)

Name: ____________________________________ Date: __________

Address: _______________________________________
 _______________________________________

Telephone Number: ____________________________

E-Mail Address: _____________________________________________
If this is a family Membership please list all names below.  Also please list the date of birth of each child.  Birth dates
are required or the application will be rejected.

Husband: ___________________                              Children’s Names and DOB:
                                                                    _________________________________
Wife: __________________                                     _________________________________
                                                                    _________________________________
                                               ______________________________

If this is an individual membership and you are under the age of 18, parent or guardian signs here:
                                               _______________________________

Please make checks payable to Silver spur riding Club.

Please mail completed membership form and check to:     Becky Lallemand
                                                                             380 Drummond RD.
                                                                             Sidney, Maine 04330
Thank You!  Hope to see you at the Shows!