2018 LVDA Membership Form
Please complete all required fields and click "Checkout/Submit" button. The Membership form will automatically be submitted after online payment has been completed during checkout.
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  • Name Email Address Date of Birth Indicate if member is Senior or Junior Indicate if member rides
    Main Member
    Additional Member 1
    Additional Member 2
    Additional Member 3
  • I Choose
    Recognized Show
    Schooling Shows
    Clinics
    Fix-a-Test
    Other
  • I Choose
    No - I prefer not to volunteer
    Yes - Show /Clinic Secretary
    Yes - Runner
    Yes - Scribe
    Yes - Scorer
    Yes - Gatekeeper
    Yes - Clinic Time Keeper
    Yes - Help Set-Up (day prior to event)
    Yes - Help Tear-down (day of event)
    Yes - Any position needed
  • 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. 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: Check Out / Submit button MUST be clicked on for entry to be submitted.