Paumanok Driving Club membership Application

New ____ Renewal ____ Change address ____

Name____________________Date__________

*Mailing 

Address_____________________________________________________________ 

*City, State, ZIP______________________________________________________________ 

Phone# 

Home__________________________________ 

Cell____________________________________

E-Mail______________________________________________________________________

Number of Horses__________Breed(s)_____________________________________________

Level of driving experience_________________________________________________ 

Please check one: I learned about PDC from:

Personal referral_____ Name (optional)_________________________________________

Website___________________________________________________________________ 

Another equine club______________________________________________________ 

Other_____________________________________________________________________ 

Interested in serving on any committees? Y N 

Can you assist with events? Y N 

Are you currently a member of the American Driving Society? (ADS) or Carriage Association of America (CAA)? Y N  

Membership Levels Pricing as of March 1, 2024

Individual $ 25  

-Named member at least 18 yrs old

Family $40

-Named members of household including children under 18 yrs old

Sustaining $55

-Named members of household including children under 18 yrs old

Membership Questions? Contact pdrivingclub@gmail.com  

PDC Office Use only

Check Number ______

Member type ____

Date Received  _____

Membership cards sent on____________

Please fill out form and send it along with your membership fee to:

Valerie Frederick 

22 Heather Drive, Center Moriches,  NY, 11934

                               Thank You for your support and welcome to PDC