Potomac Valley Dressage Association
	Online Membership Application
Type of Membership Select Type Adult Young Adult Junior Affiliate Senior Family Patron Business Affiliate $   1 Year 2 Years Lifetime Family Members Additional Members 1 additional 2 additional 3 additional 4 additional 5 additional 6 additional 7 additional 8 additional 9 additional $   List each family member ($10 each per year)   Member Information: First Middle   Last   Full Name Street Address1 Street Address2 City / State / Zip Phone Number Do NOT List in PVDA Directory Email Address Do NOT List in PVDA Directory Birthday  (Junior/Young Rider only for USDF Awards) USDF Member # Previous PVDA Member    Yes         No Primary GMO   * Required information   I'm interested in Volunteering for: I have the following Qualifications:   Show Runner   Dressage Judge  Select Level L Judge r Judge R Judge S Judge O Judge   Show Scorer   Dressage Trainer   Show Scribe   Dressage Instructor Select Level Training Level First Level Second Level Third Level Fouth Level FEI Level   Show Manager   Breeder   Show Ring Steward   USEF Technical Delegate Show Ring Setup/Breakdown   Show Other Jobs  Membership Fees $ Advertising / Marketing Trophy Fund Donation $ 0.00 1.00 2.00 3.00 5.00 10.00 20.00 50.00 100.00 Computer / Internet Online Processing Fees $ Educational Projects Total Amount  $ Anything				Online Payments Accepted PayPal Balances, Bank Transfers, and Credit Cards can be used for payment. Membership Types Adult  21 years of age and older    1 year - $45    2 year - $75    Lifetime - $599 Young Adult 18-20 years of age or older    1 year - $45    2 year - $75 Junior  Under 18 years of age    1 year - $35    2 year - $55 Senior  65 years of age and older    1 year - $35    2 year - $55 Patron    1 year - $65    2 year - $115 Business    1 year - $90    2 year - $165 Family Membership A Family Member is defined as an additional person who lives at the same residence as the Primary Member.  Only one (1) Newsletter and/or mailing will be sent per family (or residence).  All family members are recognized by USDF and each will be given a separate USDF Member ID. Each family member will also be given a separate PVDA Member ID and membership card.   Primary Member    1 year - $55    2 year - $95   Each Additional Family Member    1 year - $10    2 year - $20
Trophy Fund Donation Please donate a few dollars to provide award trophies and ribbons to competitors and high achievers. Online Processing Fees Processing online payments incurs additional charges.  These fees are automatically calculated.  Membership applications and checks may be mailed via the U.S.  Postal Service to the membership director without incurring additional charges. The membership director can be emailed at membership@pvda.org. Problems, concerns. or questions can be emailed to the webmaster webmaster@pvda.org.