SRCHA Membership Form

2019 Membership Form

Send to SRCHA c/o Gay Lenz, 11587 Hunt Lane, Guthrie, OK 73044 Phone (405) 818-7556, FAX (405) 730-8050 email: entry@srcha.org Make Checks payable to SRCHA Credit Cards Accepted (Master Card and Visa) Or Just press submit.
Name

First Name Last Name
E-mail
Phone Number:

- Area Code Phone Number

Address:

Type of Membership *

Individual $35 Family $60 (List names Below) Youth $10 Free for 1st year member One Time Event $10.00 (Only good for one event) List event in the notes section. Non Compete Membership $10.00 Non Compete Membership $10.00
Non Compete Membership $10.00 (All people that will be in the arena or warm up arena, showing or helping get horses ready, MUST have a membership or Non Compete Membership. Due to Liability reasons SRCHA will require this year at all events.)
Enter event here if you are doing One Time Fee
Family Name
Family Name
Family Name
Family Name
Yes! I would like to support SRCHA Please put my sponsorship towards:
Sponsorship Amount
BECAUSE OF YOU!
Payment *

Show Tab Check Cash Credit Card Free for first year member

If using Credit Card Choose one of these options.

Indivudual Membership $ 35.00

Family Membership $ 60.00

Youth Membership $ 10.00

One Time Event $ 10.00

SRCHA Sponsorship $ 100.00

Quantity

Non Compete Membership $ 10.00

Total $ 0.00

2019 Membership Form