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MRCA 20____
Membership Application
All
Contesting Members Must Be Missouri Residents
Annual
dues are
$85.00 for contestant membership or $55.00 for a personnel card to the
Missouri Rodeo Cowboy Association, Inc.
Annual dues shall become delinquent after December 31. Cards
are effective the date they are received in the MRCA office unless they
are purchased at a rodeo, they will be effective as of the first
performance of that event, when received with the rodeo results. Contestant
cards must be purchased by June 1, Personnel cards by May 1 to be
eligible for the current year finals.
Associate
Memberships available for $25. to keep in contact with the association
happenings.
Return
this form to: MRCA Secretary
~ Rural Route 2, Box 254, Adrian, MO
64720-9471
Check
all that apply:
Contestant £
Personnel £
New £
Renewal £ Gold Card Member £
Please
Print:
Card Number_______________
Name
Address
County
City
State
Zip
Phone
Email
Birth
Date
Circle
Jacket Size XS S
M L
XL XXL
XXXL
Circle
event: BB
SB BR
CR O40CR
SW GBR
TR header TR
heeler BKWY
Circle
Personnel Category:
Announcer
Secretary
Timer
Judge
P/U Man
Bullfighter
Other
Associate
Membership: £ $25.00
(Does not allow any benefits for
awards or hire at any MRCA event.)
Payment
£
Cash
£
Check
£
Money Order
A
$5.00 service charge will be added to all payments made by Credit
Card.
Include
all charges in your total paid balance.
Total Paid:
£
Visa £
Mastercard £
Discover Card No:
Expiration
Date:
Name
as on the Credit/Debit Card:
Cardholder
Signature:
MO
Drivers License No.
MUST
Be Provided in Order to Issue a Contestant Card
Signature
I
certify the above information to be correct, as a member of the MRCA, I
agree to abide by all rules, by-laws and regulations at all MRCA
sanctioned and co-sanctioned events.
I will not hold the MRCA or any of its affiliates liable for
property damage or injury.
All
Applicants under 21 years of age must complete the following.
This
must be notarized and returned to the MRCA.
Notary
Public
Date
My commission
expires
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