PHHWV Membership Form
Please enter information on the form below to process subscription for PHHWV Membership.
Full Name
*
First Name
Last Name
Email
*
example@example.com
I declare that I have never been convicted of an offence under the Prevention of Cruelty to Animals Act or the Regulations made thereunder.
*
Yes
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I hereby apply for membership to Project Hope Horse Welfare Victoria Inc. being for the next 12 months.
*
Yes, I want to apply for my $50 Membership
Auto-renew my Membership
Yes
In addition to my $50 membership I would like to donate
My Products Total
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( X )
AUD
Description
Amount to charge
Total
AUD
Select Payment Method
PayPal/Credit Card
Direct Deposit
Direct Deposit details
Bsb: 033 624 Account: 190675 Copy details for payment and select 'Checkout'
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Go to Checkout
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