Membership Application January 1, to December 31, 2021

Membership Application

January 1 to December 31 2021
Full Name *

LAST NAME First Name
Address *

Street Address

Street Address Line 2

City State / Province

Post Code Country
E-mail - This will be your member login for the website www.reiningaustralia.com.au *

Confirmation Email
Phone Number *
Member D.O.B *
Membership Type
RA Membership No *
Please type N/A if a new member.
Please select *

Renewing Membership A New Member
Please select - Multiple memberships can be selected ie: If you are a Non Pro and wish to compete in the Green Rider series, please select Non Pro & Green Rider membership types. *

Green Rider Youth General Non Professional Professional Lifetime Member Associate
Non Pro Declaration
If you are a new Non Pro Member or a Non Pro member who has not renewed their membership in the last 12 months and intend to show your horse, you will need to lodge a Non Pro Declaration Form for your membership to be processed. Download: Non Pro Declaration and attach it to your membership application.
Non Pro Dec

Browse Files

Cancel of
Payment Details

Downloads:

Insurance Waiver

Privacy Policy

Please Select *

I have read, understood & sign the Insurance Waiver Declaration Agreement & Privacy Policy.
Total Due
CC Fee
Grand Total

CC Fee

${ccFee}AUD

Total Amount

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AUD Description
Contact - Lynda Gray (Office Manager)
- 8 Balsa Court, Caboolture South. QLD. 4510
- secretary@reiningaustralia.com.au
- 07 5429 8797 / 0412 479 340
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Membership Type