Manning Valley Dressage & Hacking Club
2020 MEMBERSHIP APPLICATION/RENEWAL
2020 MEMBERSHIP APPLICATION/RENEWAL

MEMBERSHIP RENEWALS ARE DUE ANNUALLY ON 1st JANUARY.

MEMBERSHIP FEES:
  • Single $60
  • Family (2 adults, 3 children under 18. Additional children $10ea) $80
  • Additional Child $10
Title (Mr, Mrs, Miss, Ms etc):

* denotes a compulsory field
Given Names : *
Surname : *
 
Residential Address
 
Address :
Suburb : State : Postcode :
 
Postal Address (if different from above)
 
Address :
Suburb : State : Postcode :
Telephone A/H :
Telephone Business :
Mobile :
Fax :
Email Address : *