EARLY BIRD

Paint Horse Association of New Zealand
53c Walker Road, RD 1, Taupiri 3791

phanz.nz@gmail.com www.phanz.co.nz
MEMBERSHIP SUBSCRIPTION - Year 2025/26*
Name/s:*
Address: Street, Suburb, City & Post Code:*
Phone:*
Email:*
Are you a previous PHANZ Member?*

YESNO
Previous Membership Number
I/We hereby make application for (please choose one of the following membership):
ADULT MEMBERSHIP (for one person only)

$70
Family Membership includes newsletter (Two adults & two children only) Please ensure the names of all parties to the membership are listed and the name & date of birth for each youth member is advised. Extra child $20.

$150
Family Membership - Extra Name and DOB
Family Membership - Extra Name and DOB
Life Membership (per person) Please also tick if an honorary member or previously paid up as a life member - this is for recording purposes only

$1,000
Youth Membership (18 years and under)

$30
Youth Date Of Birth:
Do you currently own and stand a PHANZ registered and classified Stallion?

YESNO
If you do, would you like to be contacted to have an ad put in our newsletter and on our website?

YESNO
I am an Amateur Owner

YESNO
Amateur No
I/We agree that my/our contact details can be made available to other members of the Association This is often for contact on horses bred or sold by you in the past

YESNO
PHANZ Bank Account: Westpac 03-0474-0456501-00
In case of family subscription state all names.

I/We agree to abide by the rules of The Paint Horses Association of New Zealand (Inc).
Signed

Clear
Date

DayMonthYear
Date
(If this application is for an for a Youth, it must be signed by the Parent or Guardian of the Youth applying for membership rights)
Full Name of Parent/Guardian
Should be Empty:

Paint Horse Association of New Zealand

PHANZ Bank Account: Westpac 03-0474-0456501-00