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Membership Application Form

Personal Details

Owner's Name *

Stud Name (if applicable)

Email *

Phone Number *

Address 1 *

Address 2

Suburb/City *

State *

Postcode *

Membership Details

I wish to * Join Renew

Membership Type *

Full ($120/yr - before 1st July) Full ($80/6mths - after 1st July) Associate ($80/yr - before 1st July) Associate ($50/6mths - after 1st July) Junior (under 18yo - $60/yr)

Administration Fee *

Initial joining fee (new members only): $25 Rejoining fee for lapsed members: $10 Renew membership: No Fee

Fees may be paid by direct deposit to:

Commonwealth Bank: Andalusian Horse Association of Australia
BSB: 063546
Account: 00901015
Please use your name as reference.

Please note that Stallion and Mare owners must be Full Members. Gelding owners may be Associate members.

Membership Declaration

In REQUESTING/RENEWING*membership, I agree to be bound by the Rules of the Andalusian Horse Association of Australasia Inc.

You must check this box to submit the form and agree to the terms.