Uniting Equestrian Trade
Sales Rep / Agent Membership Application
BUSINESS NAME
BUSINESS MAILING ADDRESS CITY
STATE/ PROVINCE
COUNTRY ZIP/POSTAL CODE
MEMBER REPRESENTATIVE
Mr./Ms./ Dr. Select Mr. Ms. Mrs. Miss Dr.
MEMBER OF RECORD-FULL NAME
JOB TITLE EMAIL
TELEPHONE NUMBER (with area code/country code) FAX NUMBER (with area code/country code)
CELL NUMBER (with area code/country code) WEB SITE
DUES CATEGORY Sales Rep $50
We will pay by check instead of credit card.
© 2008 - 2011 American Equestrian Trade Association, Kennett Square, PA 19348
