Membership form

Heritage Draught Horse club Inc. Registered No.A0059949K ABN: 24 917 229 083

APPLICATION FOR MEMBERSHIP FOR THE YEAR 20…….

IF ANNUAL SUBSCRIPTIONS ARE NOT PAID BY 30TH June MEMBERSHIP LAPSES MAKING A MEMBER NON-FINANCIAL AND THEREFORE, NOT ABLE TO VOTE AT ANY MEETING – OR TO PARTICIPATE IN ANY Heritage Draught Horse Club inc GET TOGETHER OR EVENT

Full membership

TITLE___________________________ SURNAME: __________________________________________

GIVEN NAMES: ___________________________________________________________________________________

PROPERTY:______________________________________________________________________________

ADDRESS:________________________________________________________________________________

CITY/TOWN________________________________________________________________ POSTCODE___________

PHONE:____________________________________ MOBILE:_____________________________________________

EMAIL:________________________________________________________ FAX:_____________________________

Do you want your details published?   YES or NO (circle the appropriate selection)

 

Extra family members

Name_________________________________________________relationship______________

Name_________________________________________________relationship______________

Name_________________________________________________relationship______________

 

Full Membership (member has voting rights)                                                                  $65.00 pa

Family membership   (Parents or Guardians and 2 Immediate Children up to Age 18)         $85.00 pa

   * Please note the Clubs Membership Years runs from July 1st to June 30th

 Please make cheques payable to Heritage Draught Horse club Inc.

and remit to The Treasurer, HDHC Inc., 650 Nayook-Powelltown Road, Piedmont, 3833

or Direct Debit: Acc. Name - Heritage Draught Horse Club Inc. BSB: 633000 Acc.No. 150509800

In message box please include surname and year (Eg Smith 17/18)  Written receipts by request only.

 

I/We hereby apply for membership in Heritage Draught Horse Club Inc. and agree to be bound by the rules of the Association for the time being in force.

 

 

Signature of Applicant(s)____________________________________________Date______

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