2010 AERC Membership Registration
2010 AERC RIDE YEAR: DEC. 1, 2009 – NOV. 30, 2010
15% NEW MEMBER DISCOUNT: Courtesy of FarmVet
(for first-time members and those who last joined prior to 2005 season)
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
This is REQUIRES Javascript and will not function without it. Please enable javascript in your browser following instructions here.
DATE
  
Renew My Membership
(Subscription included with Full, Vet and Jr. only memberships) 		ARE YOU A VETERINARIAN?  
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 (incl. Canada) $0.00
AERC International Member(s) $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 $
Total (U.S. funds only) $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