Membership Application Form

Membership Form (Pro-rata) Jan - Jun 2026

* denotes Required Field
Applicant's Name*

First NameLast Name
E-mail Address*
Postal Address*

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Phone Number (AH)

Area CodePhone Number
Phone Number (Mobile)
Format: 0000 000 000.
Riding Level (optional)
Occupation (optional)
Single Riding Member $50Family Membership (includes your spouse and children under eighteen years of age) $90Non Riding Membership $20
Joining Fee for new or rejoining members (more than twelve months) $11
I wish to renew/apply for membership of the Yarra Valley Dressage Club Incorporated for the pro-rata period of 1st January 2026 to 30th June 2026. I agree to be bound by the rules of the association for the time being in force and commit to help at Club official competitions and functions.
Total Payment $*
EFT - BSB 633 000 Account: 120 534 870 Yarra Valley Dressage Club Inc; Reference – Surname plus Month and year of competition
Should be Empty:

Membership Form (Pro-rata) Jan - Jun 2026