Woody Williams Saddle Club, Inc.
                                         Membership Form

My family and I, or as a single member, would like to join Woody Williams Saddle Club, Inc. for the calendar year 2011
(a single membership is an individual 18 years old or older.) I have read the bylaws, constitution and code of conduct
of the club. It is my wish to join the club and support it in any way I can.

                                                  Please circle the type of membership preferred:

                                  Single at $20 per year                or         Family $40 per year


My name________________________________________        Age____________        DOB_________________

For Family Membership, please complete the following:

Spouse’s Name___________________________________        Age___________        DOB__________________

**Child’s Name___________________________________        Age___________        DOB___________________

**Child’s Name___________________________________        Age___________        DOB___________________

**Child’s Name___________________________________        Age___________        DOB___________________
_
**Child’s Name___________________________________        Age___________        DOB___________________

**Child’s Name___________________________________        Age___________        DOB___________________

**Children age 18 or over require their own membership

Current mailing address____________________________________________________________________

                               ____________________________________________________________________
                                   
Cell Phone______________________________________________________

Home Phone____________________________________________________

E-mail address___________________________________________________

Signature_______________________________________________________        Date_____/________/________