Membership Form You can complete your membership form by either by downloading, completing and mailing it in along with your membership fees (mailing address can be found below), or by filling out all the fields below. cchao-2023-membership-form (1)Download Date (required) First Name(required) Last Name(required) Full Address(required) Email(required) Telephone Number(required) Membership Options: For ‘voting’ memberships, you must have a Registered Canadian Horse Please select your membership option:(required) Adult – 18 yrs and over – 1 CCHAO vote – $50.00 Youth – 17 yrs and under – 1 CCHAO vote – $25.00 Couple – 2 adults – 2 CCHAO votes – $80 Family – 2 adults & related youth – 2 CCHAO votes – $100 Associate/Supporting Member – non-voting – $25 Voluntary Donation – Please indicate amount below For Couple or Family Memberships, please provide additional names. For Voluntary Donations, please indicate amount of donation. Payment Selection: Please select your payment option: Pay By Cheque Make cheque payable to: CCHAO – Send To: Candace Gomes, CCHAO Treasurer, 5933 Battersea Rd. Battersea, ON K0H 1H0 Pay by E-Transfer Online Banking Payee Set-Up: CCHAO Email Set-Up: candace.gomes82@gmail.com Photo/Video Release Authorization (required) Photo/Video Release Authorization By checking this box I, give permission to CCHAO and to its designated agents, to photograph/video me at CCHAO activities and to use such photographs/videos in all forms of media, for any and all promotional purposes. I further consent to the use of my name in connection with the photographs/videos. I understand that I will not receive any payment for my time or expenses or any royalty for the use of the photo/video, and I hereby release CCHAO from any such claims. Website Authorization Select this if: You would NOT like to have your name and e-mail address shared on the members page of our website. Additional Information Text Submit Δ