2019 LVDA Membership Form
Please complete all required fields and click "Checkout/Submit" button. Note: The Membership form will automatically enter your information upon clicking the submit button, DO NOT click submit more than ONCE, it will submit multiple entries if you do.
  • / /
  • - -
  • Name Email Address Date of Birth Indicate if member is Adult or Youth Indicate if member rides
    Main Member
    Additional Member 1
    Additional Member 2
    Additional Member 3
  • Please answer the following questions so that LVDA's activities can better serve your interests.

  • I Choose
    Recognized Show
    Schooling Shows
    Clinics
    Fix-a-Test
    Other
  • This Method
    Website
    Advertisement
    Expo or Equine Social
    Friend
    Other
  • I Choose
    I DO NOT WANT my name included on a list supplied to sponsors
    I DO NOT WANT my contact information released to other LVDA members
    I am ok with my name included on a list to sponsors
    I am ok with my contact information being released to other LVDA members
  • I understand that by clicking submit button I am obligated to submit payment via the payment method chosen in payment options.
  • Note:
    When you choose Pay by Check and hit submit the payment check out screen will still appear after a few seconds. Simply exit out of that screen without continuing any further.
    Before hitting submit write down this address to send your check to:
    Patty Weston 1220 Fairview Circle, Stewartsville, NJ 08886
  • Note:
    After clicking the submit button (only click once) wait several seconds for the payment screen to appear (be patient it will appear).
    In the payment screen you have two options:
    1. Use your PayPal account by loggin into your PayPal account(this is the choice at the top)
    2. Use your Credit/Debit card by clicking on the button at lower portion of screen labeled "Pay with Debit/Credit Card" to use your card and enter you card information
Note: Check Out / Submit button MUST be clicked on for entry to be submitted.