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Southwest Virginia
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Home
About
Membership
Eventing
Events
Entry Stats
Times
Event Photographer
Results
Levels
Calendar
Points & Awards
Young Riders
Volunteer
News
Forms & Docs
Contact
Online Membership Form
Join now, or renew your membership here:
Membership Application (New or Renewal)
Check One
(Required)
New Member
Renewal
Membership Type
Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
State
Zip Code
Email
(Required)
USEA Member?
(Required)
Yes
No
USEA Member Number
Membership Type
Price:
Option
(Required)
Senior
Junior/Young Rider(under 21)
Family
Additional Family Members
Quantity
Please Specify the number of additional family members in Quantity
Price:
$15.00
Quantity
List Additional Family Members
List the name of each additional family member, along with whether they are Jr or Sr, and provide an email address for each.
Payment Type
Check
Online
Total
