I
............................................................................................................................(Print
name)
of .........................................................................................................................................
(address)
Postcode..........................................PHAA Membership
No.......................................................
Phone No:........................................................Fax No:
..............................................................
email address:................................................................
Web site (if
applic)..............................................................
hereby apply to become a member of the New South Wales Paint Horse
Association Incorporated. In the event of my admission as a member, I agree to
be bound by the rules of the Association for the time being in force.
(signature of
applicant)...........................................................................(date)..............................
If Youth Member, please state age as at 1st August, 2007 .............................................................
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If Family or Constituent Membership, please list all applicants |
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2 |
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3 |
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Please tick one of the following:
- Yes I am happy to
have my address published in the Newsletter members list
- No please do not
publish my address
