2025 BCHW Membership Application

Application Type*

RenewalNew MemberAdding Chapters to my current paid State membership

Name*

First NameLast Name

Do not list family members unless you are paying for a Family Membership or higher level. A single membership is for one person only.

Spouse or Adult Family Member

First NameLast Name

Children's Names

Your E-mail

Alternate Email

example@example.com

Your Mailing Address*

Mailing address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Phone Number

Area CodePhone Number

Cell Phone Number

Area CodePhone Number

Legislative District

County*

PLEASE MAKE SURE YOU HAVE NOT ALREADY RENEWED YOUR MEMBERSHIP!!!

WE START RENEWALS ON October 1st every year!

Please be sure to select "One" State Membership Level only and the Chapter/Chapters that you would like to be a member of!

My Products

BCHW Single Membership $45.00

For one person only

BCHW Family Membership$60.00

For all family members living at the address on this form only.

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

BCHW Lifetime (Family of 2) Membership $2,000.00

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

Ellensburg Valley Single$10.00

Ellensburg Valley Family$20.00

Ferry County$10.00

Grays Harbor$10.00

Independent$ Free

Select Only if not joining a chapter!

Lewis County$5.00

Methow Valley$10.00

Mt Adams$10.00

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 $10.00

Purple Sage Riders$10.00

Rattlesnake Ridge$10.00

Scatter Creek Riders$10.00

Skagit$10.00

Tahoma$20.00

Traildusters Single$8.00

Traildusters Family$11.00

Wenas Valley Single$10.00

Wenas Valley Family$15.00

Wenatchee Valley Single$5.00

Wenatchee Valley Family$10.00

Whatcom County$10.00

Whidbey Island Trail Riders (Island Co)$5.00

Do you want to make an additional Donation to your favorite Chapter? SELECT a quantity in the box below.$1.00

Please SELECT QUANTITY and be sure to tell us which chapter you want the funds to go to!

Quantity
Item subtotal:$0.00

Do you want to make an additional Donation to BCHW? SELECT a quantity in the box below. $1.00

Please SELECT QUANTITY and be sure to tell us which chapter you want the funds to go to!

Quantity
Item subtotal:$0.00

We are a part of BCHA the National Organization. A portion of your State Dues goes to them already. They provide Chapter Grants, Legislative support as well as a website with important information. Would you be willing to make an additional donation to our National organization? Select a quantity!$1.00

Please SELECT QUANTITY in $5 increments

Quantity
Item subtotal:$0.00

Total $0.00

Type in the Chapter you want the above additional donation above to go to???

Which Chapter is your Primary Chapter*

Comments that you want the State or Chapter to know

How did you hear about Back Country Horsemen of Washington?

Word of mouthNorthwest Horse Source MagazineEventOther

If other, where?

Please read the Liability Release

Then please click on Agree below!

Click 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.

Date

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