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MEMBERSHIP FORM
FOR
TRAFALGAR ADULT RIDING CLUB inc
I WISH TO JOIN/REJOIN THE TRAFALGAR ADULT RIDING CLUB inc FOR THE YEAR
ENDING OCTOBER 31ST _________ . ENCLOSED IS THE DUE PAYMENT OF $__________
DO YOU WANT TO SUBSCRIBE TO CHAFF CHAT? Y / N CHAFF CHAT FEE (OPTIONAL)$____________
Privacy (release contact details to HRCAV or members) Y / N TOTAL__________
PLEASE INDICATE THE DISCIPLINE/S THAT YOU ARE INTERESTED IN:
DRESSAGE ____ SHOWING ____ HORSE TRIALS ____ SHOWJUMPING _____
COMBINED TRAINING ____ NAVIGATION RIDES ____ INSTRUCTIONAL CLINICS ____
TRAIL RIDES ____ OTHER _____
IF OTHER (please specify)______________________________________________________________
NAME:___________________________________________________________________________
POSTAL
ADDRESS:________________________________________________________________________
______________________________________POSTCODE _______________________
PHONE: (H)__________________________ (W)____________________________________
PREFERED TIME TO PHONE:_______________________________________________________
EMAIL:__________________________________________________________________________
CLUB INSURED WITH?(IF MEMBER OF OTHER HRCAV CLUBS)_________________________________
CARD NO.______________
PLEASE FORWARD THIS FORM AND PAYMENT TO THE SECRETARY ASAP THANK YOU
SIGNED ______________________________________________ DATE _____________________
*** YOU ARE REQUIRED TO SIGN A DISCLAIMER FORM ON JOINING.
(Form located via the HRCAV link on Home Page)
SEND TO: Mindy Connolly
PO BOX 3
TRAFALGAR 3824
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