Membership Application

Southeastern Virginia Speed Association is open for membership

for 2016! Becoming a member of SVSA makes you eligible to
earn points in your classes towards great year end awards, such
as belt buckles, jackets, halters, and other great prizes. All you
need to do is become a member, and compete in at least 4 shows
and you will qualify for points and awards.
Membership prices (Annual): $30.00 individual or $50.00 for a family
membership (family consists of those persons residing in the same home.)
Name:
Address:

City:

Phone:

Farm name:

State:

ZIP:

Email Address:
Membership type : (check one)

Individual Family (if family list names):

Make checks payable to SVSA, turn in at a show or mail along with this completed form
to:
SVSA
725 W. Liberty Spring Road
Suffolk, VA 23434