Reining Australia Membership Application 2023

Membership Application

January 1 to December 31 2023
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

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

Confirmation Email
Phone Number*
Date of Birth*

DayMonthYear
Date
Membership
RA Membership No*
Please type N/A if a new member.
Please select*

Renewing MembershipA New Member
Please Choose your Type of Membership*
prevnext( X )
Green Rider Program ONLY$50.00AUD

Youth ONLY Membership (under 18yrs)$50.00AUD

Youth Membership INCL Green Rider Program$50.00AUD

General Membership$150.00AUD

Non Professional (Riders ONLY)$150.00AUD

Non Professional INCL Green Rider Program$150.00AUD

Professional$150.00AUD

Life Time Membership (20years)$1,100.00AUD

Associate Member (non rider)$50.00AUD

Event Member SHOW/CLINIC (I am NEW to Reining)$25.00AUD

Total $0.00AUD
Non Professional ONLY

Yes I have a current Non Pro Declaration lodged with Reining Australia (PLEASE CONTINUE TO PAYMENT SECTION)No I have NOT got a current Non Pro Declaration lodged with Reining Australia (please attached as per next section)
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

Cancelof

Downloads:

Insurance Waiver

Privacy Policy

Code of Conduct

Please Select*

I have read, understood & sign the Insurance Waiver Declaration Agreement, Privacy Policy & Code Of Conduct.
Payment Method

in submitting this form your invoice for payment will be generated emailed to you , your membership will be complete upon payment of invoice, Thank you for supporting Reining Australia
Contact - L Gray (Office Manager)

Email : lgray@reiningaustralia.com.au

Mobile : 0412 479 340
Should be Empty:

Membership Application

Membership

Non Pro Declaration

Payment Method