I/We hereby apply for membership in the Friends of Lord Stirling Stable, in the following category:

p Individual - $20.00 p Corporate - $200.00

p Junior - $10.00 (9 to 17 years of age) p Organizational - $40.00

p Senior - $10.00 p Patron - $60.00

p Family - $30.00

p Lifetime - $200.00 (this is a one-time payment for an individual)

I/We understand that the dues are payable annually prior to February 1^st of each year (except the lifetime individual membership). I/We agree to abide by the Bylaws of the organization and support its goals and purposes and in return be entitled to all the rights and privileges to members in good standing.

Please Print Clearly

Name
Address
City, State, Zip Code
Phone Number	(home) (office)
Email Address	please include if you would like to receive email about events and other activities
Fax Number

Is this membership a p renewal or p new?

Do you wish the above information to be printed in the Friends Directory, which is made available only to members? Yes p No p

Please list the names of all family members and the age of junior members. Indicate those members with current trail cards at Lord Stirling Stable.

NAME

AGE (juniors only)

TRAIL CARD HOLDER (b)

Today’s Date ___________________________________