2021 BCHW Membership Application

2021 BCHW Membership Application

* Required
Application Type *

Renewal New Member Adding Chapters to my current paid State membership
Name *

Last Name First Name
Spouse or Adult Family Member

Last Name First Name
Children's Names
Your E-mail
Alternate Email
example@example.com
Your Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone Number

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Back Country Horsemen Of America Newsletter *

I will read the BCHA Newsletter online at bcha.org Please mail me a hard copy
Trailhead News is your State Magazine *

I will read the Trailhead News online at bchw.org Please mail me a hard copy
My Chapter Newsletter *

I will read my Chapter’s newsletter electronically via email or website Please mail me a hard copy
Legislative District
County *
Choose one Membership Level THEN Choose as many Chapters as you want LIFETIME ($1200)Members just choose your chapters *
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BCHW Single Membership $ 41.00

BCHW Family Membership $ 54.00

BCHW Contributing Membership $ 75.00

BCHW Sustaining Membership $ 125.00

BCHW Patron Membership $ 250.00

BCHW Benefactor Membership $ 500.00

BCHW Lifetime (Single) Membership $ 1,200.00

Choose your Chapters Free
Choose as many as you want

Buckhorn Range $ 8.00

Capitol Riders Family $ 15.00

Capitol Riders Single $ 10.00

Cascade Horse Club $ 10.00

Crab Creek Riders $ 10.00

Ferry County $ 10.00

Grays Harbor $ 10.00

Inland Empire $ 10.00

Independent Free

Island County $ 5.00

Lewis County $ 5.00

Methow Valley $ 10.00

Mt Adams $ 10.00

Mt Olympus Single $ 9.00

Mt Olympus Family $ 11.00

Mt St Helens $ 5.00

Nisqually $ 10.00

Northeast $ 10.00

Oakland Bay $ 10.00

Okanogan Valley $ 10.00

Olympic Free

Peninsula Single $ 9.00

Peninsula Family $ 11.00

Pierce County $ 10.00

Ponderosa Single $ 10.00

Ponderosa Family $ 20.00

Purple Sage Riders $ 10.00

Rattlesnake Ridge Free

Scatter Creek Riders $ 10.00

Skagit $ 10.00

Tahoma $ 20.00

Trail Dusters Single $ 8.00

Trail Dusters Family $ 11.00

Wenas Valley $ 10.00

Wenatchee Valley Single $ 5.00

Wenatchee Valley Family $ 10.00

Whatcom County $ 10.00

Yakima Valley Single $ 10.00

Yakima Valley Family $ 15.00

Total $ 0.00
Which Chapter is your Primary Chapter *
How did you hear about Back Country Horsemen of Washington?

Word of mouth Northwest Horse Source Magazine Event Other
If other, where?
By signing this membership application, you will agree to the terms of our Liability Release. You can read it on our website under the Membership tab. You also agree to receive notices from BCHW/BCHA by electronic transmission at the above email address.

Please click on Agree below!
Click on Agree *

Agree
Back Country Horsemen of Washington (BCHW) is a public charity as defined in Internal Revenue Code Section 501(c) (3). Accordingly, membership dues paid to BCHW may be treated as deductions characterized as “charitable contributions” when computing federal and state income tax obligations.
ATTENTION!!

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