On-Line Membership Form

Single Membership:  $25.00
 Family Membership:  $30.00

Membership:  December 1 - November 30

Your SERA membership becomes active when payment is received.  You can use the convenience of PayPal, or you may mail a check to:

SERA Treasurer
Alison Bailey
9205 Simpson Road
Waxhaw, NC 28173

Please fill out the information below and click on the button.

SERA Online Membership Form

Single Family

Main Member Name:
  AERC Member ID: Division:
  Street Address:
            City:
           State:     ZIP:
           eMAIL:
       Telephone:

Family Members

     Member Name:
  AERC Member ID: Division:
           eMAIL:
     Member Name:
  AERC Member ID: Division:
           eMAIL:
     Member Name:
  AERC Member ID: Division:
           eMAIL:
     Member Name:
  AERC Member ID: Division:
           eMAIL:


© Copyright 2011 - Southeastern Endurance Riders Association