2026 Membership Application

2026 Membership Application Horse Emergency Evacuation Team

805.466.7457
FULL NAME
MAILING ADDRESS
CITY
ZIP
STREET ADDRESS FOR ANIMALS
Tell us where you live:
PHONE home
CELL Phone
Work Phone
CDL
E-MAIL
example@example.com
Class
OCCUPATION
WORK HOURS
LOCATION
Permission for background check (initial)
Areas of Interest

Rescue/TraileringShelter/CareFund RaisingBoard MemberDispatch/CommunicationsHorse RegistrationTraining/EducationSocial Media CoordinatorPublic RelationsOther Admin Specify Below
Other Admin:
e.g. typing, excel, newsletter, etc
Check box if you can handle these situations:

BloodClimbingHikingAccident
Resources You May Have

Trailer Size and Type
Shelter or Safe House Facility Describe
HAM Radio CALL SIGN and EXPIRATION DATE
HAM Radio Equipment Describe
Other Equipment Describe
I hereby release HEET from any liability for injuries or damage sustained by my participation in HEET activities, rescues or functions.
Signature

Clear
Date

MonthDayYear
Date
Choose your tier of payment below by choosing one option.

Then type in the dollar amount in the next box.

Last, type in the date you are making the payment.

These three actions actually fill in the blanks in the actual application.
Annual Single Membership Dues $25.00 single2 Year Single Membership Dues $48.00 singleAnnual Family Dues $35.002 Year Family Membership Dues $68.00
We have provided a discount to encourage a 2 year membership, saving time and donations.

Please enter the $ amount for the option you chose below. (This only fills out the form, it does NOT obligate you to use online payment.)
One Year Membership Dues $25.00 single or $35.00 Family Two Year Membership Dues $48.00 Single or $68.00 Family
Date Paid

MonthDayYear
Date
To make the actual payment via PayPal or Venmo, please enter the dollar amount from above in this blank below where it says Donation Amount. When you click on the PayPal or Venmo option, it will automatically take you to our account for you to make your payment to us.

If you do NOT want to use the online option to make a payment, DO NOT PUT AN AMOUNT IN THE DONATION AMOUNT BOX BELOW, instead just click on CONTINUE, the system will send you a completed copy of your application. You can print it out and send it via snail mail with a check to our mailing address at the top of the form.
Non-Profit Corporation EIN 30-0159916
Donation Amount

prevnext( X )
USDDescription
Year
Payment Methods

Choose from one of the PayPal options to make your payment.
Expiration
Should be Empty:

2026 Membership Application Horse Emergency Evacuation Team