GSGRA Individual Renewal Membership

Step 2

To purchase your membership online, You MUST COMPLETE and submit the following form.
This information is required to verify your data is up to date and correct.

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.

Membership Dues Individual: $40.00

* = Required Field PRIMARY MEMBER *   NAME: *   ADDRESS: *   CITY: *   STATE:     *   ZIP:       BIRTHDAY:   MM/DD/YYYY - year optional *   PHONE: --(AC-Prefix-Number) *   E-MAIL:   G.S.G.R.A operates at a local level through its chapters. If you plan to be involved in Chapter activities, please select 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. *   G.S.G.R.A LOCAL CHAPTERS   Bay Area Chapter San Diego Chapter Greater Palm Springs Chapter Member at Large     NOTE: If your Pay-Pal account name / e-mail is different from the Name and e-mail used on this form, PLEASE make a note of that here so that we may associate the two items. Additional Comments: The purpose of GSGRA is to foster the sport of rodeo in and for the gay community in the state of California. By submitting this form, I electronically affix my signature, and I acknowledge my concurrence with the stated purpose.