ACTRA Membership Application
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| Chapter |
* If your chapter is not listed, please contact info@actra.org
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| Name |
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Tax ID Number (TIN/EIN)
taxpay id# (ssn)/employer id#
No Tax ID#?
Select EIN & Type in 12345678 |
TIN
EIN
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Date of Birth
(mm/dd/yyyy) |
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| Gender |
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| Address Type |
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| Address Line 1 |
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| Address Line 2 |
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| Town | City |
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| State | Province |
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| Zip | Postal code |
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| Country |
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| Email Address |
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| Phone Number |
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ACTRA Alerts!
Receive alerts on your Mobile/Cell #
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Note: Please do not type in parens ( ) , dashes - , spaces, etc. Just the #
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Membership Notes &
Rodeo/Roping History: |
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ACTRA Membership Options:
1. Premier Membership - General Member or Double Number Review Request - $80.00
2. Family Membership Plan (2 Adults), In Notes Section please list 2 adults, and list kids (age 17 or less) - $160.00
3. Catastrophe Fund - $5.00
4. Scholarship Fund - $5.00
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I agree to the terms and conditions of ACTRA Membership.
TERMS & CONDITIONS:
I, the undersigned, agree as a condition of participation in any activity, in this
Association, The American Cowboys Team Roping Assoc. at an ACTRA Arena, to
release, save harmless, defend, protect and indemnify any person and/or
organization in any way associated herewith and their agents, members,
officers and directors from loss, damages or liability of any sort arising out of
or in any way relating to my participation in said activity. If the participant is a
minor, the undersigned parent or guardian acknowledges that they have read
this agreement and agree to be bound by it's term as a releaser and as a
guarantor and indemnity or of said persons and/or organizations and their
agents, members, officers and directors, for the minor and in the minors place
and stead. I waive all rights which I now have or may have by virtue of any
section if any Civil Code which may real similarly: "A general release does not
extend to the claims which a credit or does not know or suspect to exist in his
favor at the time of executing the release, which is known by him, must have
materially affected his settlement with the debtor."
I, the undersigned, agree to abide by all the American Cowboys Team Roping
Association, Inc. rules. The Association reserves the right to accept or reject
any membership or entry. Deadline for memberships is set by your Chapter
Board. No member will be reimbursed once accepted. Points for the finals will
not start until the membership is accepted by the Chapter Secretary
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