CALIFORNIA COWBOYS PROFESSIONAL RODEO ASSOCIATION MEMBERSHIP APPLICATION 2008 ATTENTION! PLEASE CLICK HERE FOR WAIVER THEN PRINT, SIGN & MAIL TO CCPRA Please print, complete form, sign and mail both forms to: CCPRA P.O. BOX 1929 COTTONWOOD, CA. 96022 PHONE (530) 347-9256 FAX (530) 347 1807
First Name ___________________________________ Last Name ___________________________ Address ______________________________________ City ___________________ State _______ Zip ___________ Home Phone _____________________ Daytime Phone _____________________ Social Security # __________________________________ Birth Date: mm/dd/yy ______________ STATUS Rookie New Member Renewal: Previous Card # ________________________________
Events Worked SW CR TR header TR heeler BR SB BB WBR BK CARD TYPE
CONTRACT ACTS...$165 (CLOWN, BULL FIGHTER)
ANNOUNCER...$35
JUDGE ONLY…$115
ANNOUNCER .....$115 ( ON HORSE BACK)
STOCK CONTRACTOR..$165
PHOTOGRAPHER….$115
ASSOCIATE MEMBER….$35
SECRETARY/TIMER……$35
TOTAL DUE $ ______________ Check Money Order Visa MasterCard (A $7 bank charge will be added to credit card charges) Credit Card # __________________________________
Name on card __________________________________ Expiration Date ___________ TOTAL ___________ Signature _________________________________
ATTENTION! PLEASE CLICK HERE FOR WAIVER, THEN PRINT, SIGN AND MAIL TO CCPRA