2010

Southeastern Endurance Riders Association

Membership Renewal/Application Form

Name(s) of Senior Member(s): __________________________________________________

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AERC Membership Number(s) (if applicable): __________________________________________________

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Name(s) & Birthdate(s) of Junior Member(s) _______________________________________

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Address: __________________________________________________________________

Telephone: ___________________________ Email: _____________________________

Name(s) of Horses in Competition: ______________________________________________

Single Membership $25.00 Membership Year

Family Membership $30.00 December 1 – November 30

Make all checks payable to SERA and…..

Mail membership form to:

Alison Bailey

9205 Simpson Road

Waxhaw, NC 28173