California Quadrille Association
Individual Membership Form
Membership year is January 1 - December 31; USDF Individual Dues included
Print this page and mail to: Bonni Kelley 1225 Manning Court, San Martin, CA 95046
Contact: neptunefarm@earthlink.net or (408) 461-0910 for more information
Name_______________________________________ SS#_________________________________
Address__________________________________________________________________________
ZIP_____________________________ E-mail___________________________________________
Phone__________________________________ Fax_______________________________________
Horse Name__________________________ Breed____________________ Color_______________
Horse's Age___________ Sex_________ Height______________
Team Association (if applicable)________________________________________________________
Category of membership: Individual $50 ___________
Life $500 __________
Make check payable to California Quadrille Association. Mail to: Bonni Kelley , 1225 Manning Ct. San Martin, CA 95046
Team Membership Form
Team Name _______________________________________________________________________
Team Colors______________________________ Please send a copy of Team Logo, if available.
Team Captain____________________________________ Phone_____________________________
Address__________________________________________________________________________
Team Contact____________________________________ Phone ____________________________
Address__________________________________________________________________________
Team captain and contact must be Individual Members in good standing with CQA, one person may serve
as both Captain and Contact. Make check payable to California Quadrille Association.
Team membership is a one time registration fee of $ 25.00. (NEW TEAMS ONLY)
$5 Annual Renewal fee per Registered Team effective January 2001
Back to CQA Home Page