P.O. BOX 3412
AUBURN, CA 95604

Membership Application


Annual dues are $15 for a single membership and $25 for couple/family membership.
Membership dues are payable each January. The Gold Country Endurance Riders (GCER)
meet the third Tuesday of each month, 7:00 PM at Baker's Square restaurant in Auburn, CA.
Once your membership dues are received, you will be added to the roster.

Please PRINT Clearly

Name:

 

Date:
Street or Box No.:

 

City:

 

State: Zip:
Home Phone:

 

Email Address:
Type of Membership: (circle one)                 Single/$15                 Family/$25 

Year of Membership: (circle one)              2007              2008              2009              2010

Please make check payable to "Gold Country Endurance Riders" and mail, along
with your signed Liability Release to the address above.


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Updated: 1.10.07 jds