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