THE GOLDEN STATE GAY
RODEO ASSOCIATION

A Member Association of the
International Gay Rodeo Association

APPLICATION FOR MEMBERSHIP

Membership records are strictly confidential

G.S.G.R.A is an organization of men and women. Ownership of a horse is not required to be a member. Membership fees are for one year from the date of receipt. Family memberships are available to any two persons residing at the same address.

Membership Dues
Individual: $40.00  ---  Family: $75.00

Members must be at least 18 years of age. Some G.S.G.R.A. events are held in locations with age restrictions that would exclude members under the age of 21.

PRIMARY MEMBER

NAME:

ADDRESS:

CITY:

STATE:     ZIP:

BIRTHDAY: MM/DD/YYYY - year optional

PHONE: --

E-MAIL:

All new members receive an engraved G.S.G.R.A name badge.
Please print here how you would like us to engrave yours.

DATE: MM / DD / YYYY

SIGNATURE:

FAMILY MEMBER

NAME:

All new members receive an engraved G.S.G.R.A name badge.
Please print here how you would like us to engrave yours.

BIRTHDAY: MM/DD/YYYY - year optional

E-MAIL:

DATE: MM / DD / YYYY

SIGNATURE:

 

THE GOLDEN STATE GAY
RODEO ASSOCIATION

A Member Association of the
International Gay Rodeo Association

APPLICATION FOR MEMBERSHIP

Membership records are strictly confidential

G.S.G.R.A operates at a local level through its chapters. If you plan to be involved in Chapter activities. Please check the chapter with which you would like to be affiliated. If you have no interest in participating in Chapter activities. You may choose to be a Member at Large with all of the privileges of membership statewide. Please check one box only and then mail this completed card along with your check made payable to G.S.G.R.A. (Checks or money order only please, No Cash.)

Members that do not indicate a preference will be considered to have selected Member at Large.

G.S.G.R.A  LOCAL CHAPTERS

   GREATER LOS ANGELES CHAPTER

   BAY AREA CHAPTER

   GREATER SAN DIEGO CHAPTER

   GREATER PALM SPRINGS CHAPTER

   MEMBER AT LARGE

Mail To:

G.S.G.R.A

Membership Committee

4226 East 15th Street

Long Beach, Ca 90804

*** COMPLETE BOTH SIDES ***
 

RECEIVED BY:

DATE RECEIVED: