Assignment by Jockey of Certain Media Publicity Promotional and Other Rights
Authorization for Representation form
Life insurance enrollment form (complete sign and date)
Annual Dues of $100 (Initial dues for applicants who join from 7/1 thru 10/31 are $50; dues for applicants who join from 11/1 thru 12/31 are waived for that year). Make checks payable to Jockey's Guild Inc
RETURN TO A GUILD MEMBER REPRESENTATIVE OR MAIL TO: Jennifer Ray Jockey's Guild Inc. 2365 Harrodsburg Rd Suite B375 Lexington KY 40504
INFORM THE HORSEMEN'S BOOKKEEPER AT EACH TRACK THAT YOU ARE A JOCKEY'S GUILD MEMBER.
Members must ride and contribute on all mounts to be eligible for temporary disability benefits
QUESTIONS? PLEASE CONTACT: Jennifer Ray or Regional Manager toll free: (866) GO-JOCKS (866) 465-6257 phone: (859) 523-JOCK (859) 523-5625 fax: (859) 219-9892
JOCKEYS' GUILD REGIONAL MANAGERS:
John Beech
Darrell Haire
Jeff Johnston
Herbie Rivera Jr.
(512)826-3344
(909)241-2704
(859)547-8084
(727)637-2426
Terence J. Meyocks NATIONAL MANAGER: (859)523-5625
