Club Registration

Manawatu Western Riding Club

2024/2025 Membership
Subscriptions for the 2024/2025 season are due on the 1 June 2024

Membership types

Single: $40.00

Single membership for one person, from youth through to adult members.

Family: $65.00

Family members includes 2 adults (19yrs and over) and all children up to 18yrs.

You will need to submit an indemnity form to complete your membership. Please complete the form here; https://form.jotform.com/241337249359059
Membership (Please Select)*

Single Membership ($40.00)Family Membership (65.00)
Single/ Individual
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email address
Phone Number
Please enter a valid phone number.
Family Membership
Surname/Family Name
Primary contact name
Primary contact email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Family members

Fill in for each family member
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Signature

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Total fees due
Payments are to be made via internet banking to;

Name: MWRC

Bank Account: 03 0726 0486951 00

PARTICULARS: Membership

CODE: 2024/2025

REFERENCE: your 'Surname'
Duration of membership

From 1 June 2024 to 1 June 2025. Club memberships are renewed annually.
Should be Empty:

Manawatu Western Riding Club