Centered Riding Membership Renewal Information and Online Application Form

Supporting Member of Centered Riding - - $35 USA, Canada - $40 All Other Countries

Rider Member ( eligible to participate in Centered Riding's Rider Recognition Program - a Rider's Journal will be sent to you to log hours you spend taking Centered Riding lessons, bodywork or attending Centered Riding Clinics. You will receive a colored badge & certificate for each 30 hours of CR lessons / 10 hours of groundwork/bodywork completed ) Dues listed below.

Please indicate the number of family members
(This will be used to calculate the total dues)

I wish to receive printed Directory of CR Instructors & Members- $15.00 USA & Canada - $20.00 All Others

I wish to receive printed Directory of CR Instructors & Members- $15.00 USA & Canada - $20.00 All Others

I wish to receive printed, paper copy of the quarterly journal - $15.00 USA - $16.00 Canada - $20.00 All Others
If applying for a family membership, please indicate below the number of family members, along with their names of those wishing to recieve a printed copy of the quartely jounal.
Please indicate the number of family members wishing to receive a printed copy of the Quarterly Journal This will be used to calculate the printed document surcharge.(electronic copy is otherwise available to all family members providing an email address)
Please list each family member wishing to receive a printed copy of the quarterly journal :

I wish to receive printed, paper copy of the quarterly journal - $15.00 USA - $16.00 Canada - $20.00 All Others

Please indicate the number of family members wishing to receive a printed copy of the Quarterly Journal
This will be used to calculate the printed document surcharge.(electronic copy is otherwise available to all family members providing an email address)

First Name(s) :
Last Name(s) :
Address :
Address 2:
City :	(include postal code if it comes before city)
State/Prov :
Zip/Postal Code :	(enter only if it follows city/state or prov)
Country :
Phone :	(include country code for foreign #s.)
Cellphone :
Email Address :

	There is no change in my personal information
	The information above represents a change in my personal information


Supporting Member of Centered Riding - - $35 USA, Canada - $40 All Other Countries
Rider Member ( eligible to participate in Centered Riding's Rider Recognition Program - a Rider's Journal will be sent to you to log hours you spend taking Centered Riding lessons, bodywork or attending Centered Riding Clinics. You will receive a colored badge & certificate for each 30 hours of CR lessons / 10 hours of groundwork/bodywork completed ) Dues listed below.
Adult Rider Membership - $35 USA, Canada - $40 All Other Countries
Junior Rider Membership - $25 USA, Canada - $30 All Other Countries Under 18 - Please give Date of birth :
Family Rider Membership - $25 USA, Canada - $30 All Other Countries (2 or more from same family, same address)
Please indicate the number of family members (This will be used to calculate the total dues)
Please list names of all family members :

Total Dues : $
Total Document Surcharge : $
Printed Directory : $
Donation : $

Total : $



I would like to Support Centered Riding and the work of Sally Swift
Enclosed is my Tax Deductible donation of $ To :
Centered Riding Inc - The CR Education Fund - The Sally Swift Scholarship Fund

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Online Membership Renewal