Home                               SOUTH DAKOTA TRAIL RIDERS

Date__________________                                                                       New______ Renewal______

Name______________________________________

Address____________________________________

City_______________________________________     State____________ Zip_________________

Home Phone (_____) _________________________    Work Phone (_____) ___________________

Fax Phone ________________________ E-Mail Address___________________________________

# of Riders _____  # of Horses/Mules _____

Stables at Home _____Yes _____No   How did you learn about SDTR?_______________________ __________________________________________________________________________________

Please list other horse organizations you are a member of __________________________________

__________________________________________________________________________________

Do you manage a horse camp facility? ______ If yes, please describe the type of services provided, the name, mailing address, phone number(s) including 800 #, Fax # and if your facility can be found on the internet ___________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

(Please include a brochure or business card.)

Would you host a trail ride in your area if there is a place(s) close to your

 home? _____.