2015 AERC Membership Registration
2015 AERC RIDE YEAR: DEC. 1, 2014 – NOV. 30, 2015
15% NEW MEMBER DISCOUNT: Courtesy of EasyCare Inc.
(for first-time members and those who last joined prior to 2010 season)
Join for $63.75 instead of the regular $75
Note: If you have any problems with this form, please phone the office (toll-free 866-271-2372, 8-4 Pacific Time)
and the office staff will be happy to assist with your membership.
Please enter all dates as dd/mm/yyyy
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DATE
 
Renew My Membership

(Subscription included with Full, Vet and Jr. only memberships)
ARE YOU A VETERINARIAN?  
How did you discover AERC?      
Primary Member:

First Name
 
Last Name
 
Birthdate
Weight Division/Junior (including all tack)
 
Family Member (Needed if you have a family member)
I am a:
Address
Region
  Region Map
City
  State
  Zip/Mailcode
  Country
 
Home Phone
  Work Phone
  Email
    
 
Additional Family Members: Click the + to add a member, click the - to delete.
Add member: Add Member

LIFETIME EQUINE REGISTRATION – First equine registration is free to each member; for any additional equines registered: $15 each. Fill in only if you are registering a new equine with AERC. If the equine(s) being registered has completed any AERC-sanctioned rides, please include a list with ride name/distance/rider/date/placing on a separate email to aerc@foothill.net so the equine will be properly credited for mileage.
Additional Equines: Click the + to add an equine, click the - to delete.
Add equine: Add Equine
Equine's Name
Equine's Nickname
Foal Date
Gender
Color
Breed
Breed Registry
Reg. I.D. #
Owner's Name
CHECK FOR OWNERSHIP
CHANGES ONLY: (NO FEE)
Former Owner
AERC #
Region
New Membership $0.00
Additional Family Member(s) - 0 $0.00
Junior Only Member (includes Endurance News) $0.00
Veterinary Only Member (includes EN) $0.00
International Address (Canada) $0.00
International Address (Other than Canada) $0.00
AERC International Member(s) at USD $10 per member $0.00
Gold Membership Includes $1 million personal excess
liability coverage provided by Equisure, Inc.
Add $20 for primary member; add $40 to insure all AERC family members.
U.S. residents only
$
Equine Reg. (after 1st horse) - 0 $0.00
12 Issue EN Subscription only $0.00
Donation for Education $
Donation for Research $
Donation for Trails $
Donation for International $
Donation for Junior Scholarship(s) $
Total (U.S. funds only) Regular $75 - Your discounted membership fee $0.00
By submitting this application you agree all information provided
regarding you and/or your family member(s)
is correct and you agree to abide by all AERC rules.

AERC Release
Check here to agree:
 
Payment Information - Credit Card Payment Only - Please pay online via the secure link provided on the next page.
It will take a minimum of 10 business days for the office to process your membership and mail your card to you.

To call or fax AERC

Phone (530) 823-2260
Toll-free (866) 271-2372
Fax (530) 823-7805

To email AERC

aerc@foothill.net