ARIZONA DESERT RIDERS
MEMBERSHIP APPLICATION/RENEWAL
c/o Marguerite Carpenter; 2360 W Running Iron Lane, Cottonwood AZ, 86326; (623)243-0370
Annual membership is from April 1-March 31. Members receive reduced fees at all Club events. Day membership is good only for the weekend of a specific ride. Non-members have a choice of paying for a yearly membership or a day membership when they join us on a ride.
____Day membership $5.00/rider (riders under the age of 18 must be accompanied by an adult)
____ Individual Membership $30.00 (must be 18 years or older)
____ Family Membership $50.00 (2 adults and children including full-time
students through age 21)
Adult members:
Anniversary*: _______________________ *year optional
Child members (18 years & under):
Address: _____________________________________________________________
City: __________________________________________ ZIP ___________
E-Mail*: _____________________________________ (PREFERRED FOR SENDING MONTHLY
NEWSLETTER)
Phone: (H) ________________________ (W) ________________________
FAX ______________________ CELL ______________________
I/my family will volunteer to work on (please mark one or more):
_____Wickenburg Ride (February) _____Christmas Ride (December)
_____Mormon Lake Ride (July) _____Donations committee
_____Sponsor a members/friends ride _____Other Interests ______________
I do hereby give consent to the persons named on the membership application to participate in Arizona Desert Riders activities and release the AZDR, its officers, agents, and all affiliated organizations of any responsibility for injury or damage done to myself/my family, my livestock, or equipment resulting from participation in or association with AZDR activities.
Signature ______________________________________ Date __________________________