Western New York Dressage Association, Ltd.   A USDF Group Member Organization (GMO)

Membership Application & Renewal Form For

September 16- 2007 – September 15 - 2008

WNYDA Membership Benefits Include:

WNYDA Highlights Newsletter WNYDA Omnibus containing prize lists and entry forms for area dressage competitions • WNYDA Awards Program • Membership Directory • Discounts on WNYDA educational programs • Free classified advertising in Highlights and on our Web site • WNYDA membership card • United States Dressage Federation GMO Membership*

WNYDA Offers a Choice of Membership Levels:

Individual $40.00 — For members 18 years of age and older as of Sept 16, 2007. These members receive all the above benefits, they may vote and hold office, register for the WNYDA Awards Program, and participate in all WNYDA activities.

Individual Junior/Young Rider $35.00 — For members 21 years of age and under as of Sept 16, 2007. This membership offers Junior/Young Rider members all the benefits and responsibilities of an Individual membership, EXCEPT: they may not vote or hold office.  Those Jr/YR’s 18 and over who wish to vote and hold office, should join as an Individual member (above).

Family $50.00 for one primary membership PLUS $15.00 for each additional family member (names of all family members must be provided): Members of a single household receive all the benefits and responsibilities of an Individual membership, EXCEPT: only one parent may vote and hold office; only one Omnibus ,newsletter and USDF Connections.  All paid family members will receive USDF GMO membership. (Any Family member who turns 22 during the WNYDA membership year must become an Individual member.) Only the primary member can receive the USDF Participating Member discount($15)

Group $75.00 + $30.00 per Individual — Members of an institution or organization may join as a Group and receive all the benefits of WNYDA Individual membership with the following stipulations: Only one newsletter and one Omnibus will be mailed to the Group Sponsor’s address; each individual within the Group has WNYDA voting rights and may hold office and will receive a USDF GMO Membership. For more information on group membership, contact Jo-Anne Young at (585) 567-4374 or joanne.young@houghton.edu.

 

* USDF Group Membership does not include all benefits of a USDF Participating Membership, however, WNYDA GMO members will receive a discounted rate if they wish to upgrade to a USDF Participating Member.

 

Membership Information:                    Check one:   [  ] Renewal    [  ]  New Member

Name: ______________________________________________________________________________________________________________________

(Family memberships:  please list names and date of birth for all Family members  [use separate sheet].)

(Group Sponsors: please send names and addresses of every individual and indicate which address should receive mailings [use separate sheet].)

Street:  ______________________________________________________________________________________________________________________

City: _____________________________________________________________   State: ___________________   ZIP: ______________________

Phone Number (             )______________________  Date of Birth:  ______/______/______ (required for Junior members)

E-mail: (PLEASE PRINT CLEARLY): _________________________________________________________________________________________

USDF # (if available): _______________________________________

Do you wish to receive an Omnibus?  [   ]  Yes    [   ]  No  ** (if renewing after Nov 15, 2007  the $10.00  late fee is required in order to receive your Omnibus)

Profession or Service: (check all that apply, Profession and Services are listed in WNYDA’s membership directory)

[  ]  Bed/Barn & Breakfast      [  ]  Equine Photographer         [  ]  Breeder              [  ]  Instructor          [  ]  Trucking Service

[  ]  Boarding Facility             [  ]  Farrier                                               [  ]  Trainer              [  ]  Veterinarian

Membership Dues: (check all that apply) (not tax deductible):

[  ]  Individual        $40     to be paid one time for membership thru Sep 15, 2008

 

[  ]  Family             $50 + $15/additional family member to be paid one time for membership thru Sep 15, 2008

[  ]  Junior/YR        $35      to be paid one time for membership thru Sep 15, 2008 or

[  ]  Group                 $75 + 30 /person to be paid one time for membership thru Sep 15, 2008

 

[  ]  Add $15 to each membership type  for  addresses outside the USA

[  ]  Late Fee          $10   (waived for new members only) If you are renewing your membership after  Nov 16, 2007

 

Total Membership Fees Enclosed: $_______________________  Make check payable to WNYDA in US Funds. ($25 charge for returned checks)

Volunteer Information

Your active participation keeps dressage alive in our region! Please check off the areas in which you have special interest, expertise, or feel you could help.

[  ]  Awards Banquet                                 [  ]  Finance                             [  ]  Educational Programs        [  ]  Competition Secretary

[  ]  Pot Luck Supper & Auction              [  ]  Legal Advising                   [  ]  Awards Program                [  ]  Competition Scribing

[  ]  Fundrasing  / Sponsorship                  [  ]  Membership                      [  ]  Website                             [  ]  Competition Scoring

[  ]  Publicity                                            [  ]  Nominating Committee     [  ]  Omnibus Editor                 [  ]  Competition Scheduling

[  ]  WNYDA Logo Merchandise              [  ]  Volunteer Coordinator       [  ]  Mailings                            [  ]  Competition Management

[  ]  Policies & Procedures Manual           [  ]  Announcing                       [  ]  Newsletter Editor              [  ]  Show Grounds Setup

[  ]  Riding Facilities for Shows, Educational Events or Activities             [  ]  Classified Ads Editor          [  ]  Show Grounds Teardown

Please enclose this form with your check(s) made payable to WNYDA, and mail to:

Valerie Knight, Membership Chairman, 3669 Daansen Rd, Walworth, NY 14568