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28 - May - 2023 www . wsca . org WSCA Digital Spotlight

2023 Application for Membership Western Saddle Clubs Association , Inc . Welcome to WSCA ! We hope you have a fun year !

OFFICE USE ONLY Date Rec ’ d ______________________ Ck . No . _________ Amount ________ MBL Rec ’ d ______________________
NAME N OF CLUB : ___________________________________________________ _ q
By checking this box , you give us permission to give out the phone number and email address of your club secretary to those that inquire about your club .
• The Application for WSCA Saddle Club Membership form and dues must be sent to the WSCA Secretary postmarked no later than January 15 , 2023 .
- Annual renewal dues are $ 70 for saddle clubs rejoining WSCA
- Dues are $ 75 for new WSCA clubs ($ 5 is a one-time assessment fee )
• Application forms posted after January 15 , 2023 will be assessed the following late fees :
Jan . 16 - Jan . 31
$ 10 in addition to annual dues
$ 10 + $ 70 = $ 80 or $ 85 new club
Feb . 1 - Feb . 28
$ 20 in addition to annual dues
$ 20 + $ 70 = $ 90 or $ 95 new club
March 1 - March 31
$ 30 in addition to annual dues
$ 30 + $ 70 = $ 100 or $ 105 new club
April 1 - April 30
$ 40 in addition to annual dues
$ 40 + $ 70 = $ 110 or $ 115 new club
May 1 - May 15
$ 50 in addition to annual dues
$ 50 + $ 70 = $ 120 or $ 125 new club
• Send the application form and dues by mail to Leslie Mason , 15128 240th St . Scandia , MN 55073 .
• Remember , Saddle Club Membership Lists must be submitted online no later than May 31 , 2023 .
** NO APPLICATION FOR MEMBERSHIP FORMS WILL BE ACCEPTED POSTMARKED AFTER MAY 15 , 2023 **
To see all WSCA Forms
• Saddle Club Membership Lists are due NOT LATER THAN May 31 , 2023 . It is MANDATORY that the WSCA club Membership Lists be submitted online . No email or paper membership lists will be accepted . Contact the WSCA Secretary with questions .**
After January 15 , 2023 , all WSCA member clubs who have submitted this form will have access and editing ability to their ONLINE MEM- BERSHIP LIST . NOTE : All WSCA Clubs Should Update Their 2023 Officer And Delegate Addresses , Phone Numbers And Email Addresses At The Time Of Their Online Club Membership Renewal .
PRESIDENT Name : ______________________________________________ Address _____________________________________________ City / State / Zip : ________________________________________ Telephone : (___) _____________________________________ Email : ______________________________________________
VICE-PRESIDENT Name : ______________________________________________ Address _____________________________________________ City / State / Zip : ________________________________________ Telephone : (___) _____________________________________ Email : ______________________________________________
CLUB DELEGATE # 1 Name : ______________________________________________ Address _____________________________________________ City / State / Zip : ________________________________________ Telephone : (___) _____________________________________ Email : ______________________________________________
ALTERNATE DELEGATE # 1 Name : ______________________________________________ Address _____________________________________________ City / State / Zip : ________________________________________ Telephone : (___) _____________________________________ Email : ______________________________________________
Your Club ’ s Meeting date : ______________________________ Location of meeting : ___________________________________ ____________________________________________________
SECRETARY Name : ______________________________________________ Address _____________________________________________ City / State / Zip : ________________________________________ Telephone : (___) _____________________________________ Email : ______________________________________________
TREASURER Name : ______________________________________________ Address _____________________________________________ City / State / Zip : ________________________________________ Telephone : (___) _____________________________________ Email : ______________________________________________
CLUB DELEGATE # 2 Name : ______________________________________________ Address _____________________________________________ City / State / Zip : ________________________________________ Telephone : (___) _____________________________________ Email : ______________________________________________
ALTERNATE DELEGATE # 2 Name : ______________________________________________ Address _____________________________________________ City / State / Zip : ________________________________________ Telephone : (___) _____________________________________ Email : ______________________________________________
Send the completed application form and dues by mail to : Leslie Mason , 15128 240th St ., Scandia , MN 55073
WSCA Application For Membership CHECKLIST : q Fully completed 2023 Application For Membership including name of club , officers , and delegate information .
q If you want your information given out to potential club members , you have checked the box under Name of Club that says “ By checking this box , you give us permission to give out the phone number and email address of your club secretary to those that inquire about your club .”
q 2023 dues according to fee schedule . q I understand that our club must submit and renew our 2023 club members on the ONLINE MEMBERSHIP LIST of the WSCA website by May 31 , 2023 . q I understand that our club must update the club officers and delegates information on the ONLINE MEMBERSHIP LIST of the WSCA website .