Paumanok Driving Club
Membership Application

Please print this form, complete, and send it with appropriate fee to address below:  You will receive your Paumanok Driving Club Membership Card approximately 4 weeks after we process your application.

Name:_____________________________________________________

Mailing address:_____________________________________________

e-mail:_____________________________________________________

Phone #:___________________________________________________

# horses:_______________ Breed(s):____________________________

# ponies:______________   Breed(s):____________________________

Mules:________________  Miniature horses:______________________

Level of Driving Experience: Beginner_____  Intermediate____  Advanced____  

Type of driving interested in:  Competition_____  Recreational______  Business______  

Interested in serving on a committee?______________________________
or
Willing to help with events?_____________________________________

Are you currently a member of American Driving Society (ADS)_______________
or
The Carriage Association of America (CAA)?_______________________________

Please send a check or money order payable to Paumanok Driving Club to this address:

PDC Membership
` C/O Vicki Giroffi 1938 Rockville Drive
Baldwin, N.Y. 11510

PDC Membership Questions Contact

Vicki Giroffi 516-608-4404 giroffiv@gmail.com

Jerry Trapani 631-277-4967 shadbelly@aol.com

2012 Membership Fees
Individual:      $20.00

Family:          $35.00

Sustaining:     $50.00

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