A Chapter of MSEA
Area IX

Boulder Valley Eventing Association

2010 Membership Form

Type of Membership – check one:

____	$35 Individual Membership in BVEA and MSEA and receive 2010 Omnibus
____	$40 Family Membership in BVEA and MSEA and receive 2010 Omnibus
____	$10 Friend of BVEA Membership - may attend meetings and receive BVEA Newsletter

Name (s): _________________________________________________________

Birth Date(s):______________________________________________________

Street:____________________________________________________________

City: __________________________

State: _________ Zip: _____________

Home Phone: _______________________________________

Email Address:____________________________________________________

Horse(s) Name(s): __________________________________________________

Please send this form and a check made out to BVEA to:

BVEA

Attn: Wendy Chase

8845 East CR 14

Loveland, CO 80534