Virginia Region Pony Clubs

VIRGINIA REGION PONY CLUBS

2018 REGIONAL DUES FORM

Aldona Petraitis, VRPC Membership Coordinator

13905 Bronco Lane, Lovettsville, VA 20180

~ (703) 727-6469

Pony Club or Riding Center:
Number of 12 month members joining: @ $26 each totals:
Number of 16 month members joining: @ $30 each totals:
Total enclosed: / Date: / Check No:

Virginia Region dues are $26 per 12 month membership. New members joining 9/1, may pay a prorated $30 fee for a new 16 month membership through 2018. Please pay regional dues the same day dues are sent to USPC. Dues must be paid at the club, regional and national level for a member to participate in any local, regional or national USPC activities. It is preferable to register and pay online through the VRPC website at http://vrponyclub.org/add-a-member (you MUST NOT be logged in to add a new membership) and email Aldona to let her know you’ve added a member. If you must mail a physical check, please make it payable to VRPC.

Renewals are considered late after November 15th & incur a $13 late fee per member.

Please include this fee if paying after November 15th!

Member’s Names:

1. / 16.
2. / 17.
3. / 18.
4. / 19.
5. / 20.
6. / 21.
7. / 22.
8. / 23.
9. / 24.
10. / 25.
11. / 26.
12. / 27.
13. / 28.
14. / 29.
15. / 30.