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 in Auburn, CA. Check the website for details.
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)              2010              2011              2012              2013

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


Updated: 1.24.10 jds