Membership Registration Form

North Dakota Equine Association Membership Form

Please complete the form below to sign up.
Member Name*

First NameLast Name
INDIVIDUAL MEMBERSHIP $30:
This membership is available to any person who is eligible for membership. This member will have one vote in the council. All Individual Memberships will receive 1 Event Pass for the North Dakota Horse Expo.

FAMILY MEMBERSHIP $50:
Family membership is available to any family members living in the same Household and under 18. All family members names must be listed on the membership form. This membership will have only one vote in the council. All Family Memberships will receive (4) One Day Pass’ to the North Dakota Horse Expo.

BUSINESS MEMBERSHIP $100:
Business memberships are open to; any wholesaler and/or retail business and/or professional services deriving at least a portion of their income from the horse industry, any association, corporation, society, or other group with at least ten members representing horsepersons or any other organized interest in the horse industry or any segment thereof. This membership shall have only one voting delegate in the council. All Business Memberships will receive (4) Event passes for the North Dakota Horse Expo.
Membership Type*

Individual MembershipFamily MembershipBusiness Membership
Business Name:
Website:
Family Member Name:

First NameLast Name
Family Member Name:

First NameLast Name
Family Member Name:

First NameLast Name
Family Member Name:

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail (for Association newsletters and info)*
Address:*

Street Address

Street Address Line 2

City

Zip Code
Are you interested in volunteering at the ND Horse Expo or other hosted events?*

NoYes (Please enter ideas)
Event Help:
Where did you hear about us?*

A Friend or colleagueOnline Search (Google, Bing, Yahoo)NDEA WebsiteNews ArticleOther
ND Equine Association

By-Laws
Photography/Videography Waiver

I understand that occasionally, photos and videos from Association competitions and practices will be used in promotional material for the NDEA. I agree to allow my image or my child's image to be used for this purpose and that I will not be compensated. I also understand that once a promotional item has been produced, it is not possible to remove my image or my child's image from the production.
Signature of Member or Legal Guardian*
Membership Choice*
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Individual Membership$30.00

Family Membership$50.00

Business Membership$100.00

Total $0.00
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North Dakota Equine Association Membership Form