BEF Associate Membership Form

BERMUDA EQUESTRIAN FEDERATION LIMITED
ASSOCIATE MEMBERSHIP APPLICATION FORM
P.O. Box DV 583, Devonshire DV BX BERMUDA
Membership Secretary: Anne Cherry Tel: 234-0485 Fax: 234-3010
Email: jacherry@northrock.bm

Year ___________/____________
From 01 September to 31 August

Name of Member(s)
Full Mailing Address
Home Phone	Work Phone	Home Fax	Work Fax
EMAIL ADDRESS:
DUES - Tick applicable box		BEF Associate Membership Information

	Individual Associate Membership Levels	.
	Associate	$50.00
	Friend	$100.00
	Family - parents and children	$250.00
	Extended Family - including grandparents	$500.00
	Fellow	$750.00
	President's Circle	$1,000.00
	Benefactor	$250,00.00
	Patron	$5,000.00
	Life Patron	$10,000.00

	Corporate Associate Membership Levels	.
	Associate	$250.00
	Friend	$500.00
	Executive	$1,000.00
	Stewardship	$2,500.00
	Fellowship	$5,000.00
	President's Circle	$10,000.00
	Benefactor	$25,000.00
	Patron	$50,000.00
	Life Patron	$100,000.00

By signing this form I/We understand that the BEF is committed to achieving an environment free of illicit
substance use and licit substance abuse as set out by the Bermuda Council on Drug Free Sport
and its policies and procedures on Penalties for Drug Use in Sport.

Signature: ___________________________________________ Date: _________
NB: Unsigned forms will not be accepted.

Print this form, complete and mail to B.E.F. Associate Membership, P.O. Box DV 583, Devonshire DV BX.