Morgan Dressage Association Membership Application

Morgan Dressage Association Membership Application

(Membership year runs January 1 - December 31)

Please print out this form, fill it out, send it and a check made payable to MDA and return to: Morgan Dressage Association, PO Box 207, Lovettsville, VA 20180.

Name ______________________________________________________________________

Farm name (if applicable) ______________________________________________________

Address ____________________________________________________________________

City ________________________State ____________ Zip ________________

Telephone ______________________________ Fax _______________________________

E-mail ______________________________

Please list family members participating in MDA programs and note birthdate of any junior young rider members.

1. ________________________________ 2. ______________________________________

3. ________________________________ 4. ______________________________________

Is this a renewal _______ or new membership _______? Please circle your membership category:

Junior Young Rider $10

Individual $15

Family $20

Patron $100

Check all that apply: Rider ______ Professional Trainer ______ Breeder _____ Enthusiast ______

Please indicate if you are willing to help the organization by donating your time and skills. (Check all that are of interest to you.) 1. Newsletter ________ 2. Membership directory/advertising sales ________ 3. Write educational articles _______ 4. Awards coordination ____________ 5. Breed promotion ________ 6. Other (Please specify)

Professional/Breeder additional information to be included in the 2007 MDA Membership Directory and on MDA web site for an additional $15 charge: - Up to 30 words describing your services and/or program/stallion (Use additional sheet if necessary).
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Category (Check all that apply): ____ Trainer/instructor; ____ Breeder/Stock for sale; ____ Other (describe) ___________

Web site url for listing in directory and link on MDA web site __________________________________________________If you’ve already renewed and want your information/listing to be included in the next directory and on the web site now, just send the bottom portion of this form with a check for $15 and mark: “Already renewed” at the top. Questions? e-aail: members@morgandressage.org.

Please make your checks payable to MDA and return this form with membership dues to:

Morgan Dressage Association, PO Box 207, Lovettsville, VA 20180