Please return form to:
Treasurer
A Registered Society for: Sue England
Palomino, Cremello, Perlino, 80 Native Rd, RD1
Dun, Buckskin and Dilute
Tuakau
Paints, Pintos, Appaloosas sue.eng@xtra.co.nz
and Roans. Ph: (09) 233 4183
ANNUAL SUBSCRIPTION FORM
(Effective 1st August – 31st July)
20009/2010SEASON
NAME:……………………….……………………………………………………………………
ADDRESS:………………………………………….…………………………………………….
PHONE:…………………………..…..EMAIL:…………………………………………………
(Please Tick Box)
□ FAMILY □ SENIOR FULL □ JUNIOR FULL □ ASSOCIATE
$30.00 (2 Adults $25.00 (13yrs & $20.00 (12yrs & $15.00 (Not Full Financial
& Dependant over) under) Member)
THE FOLLOWING ARE OPTIONAL: DATE SENT BY WHOM
Please Tick Box(s)
□ Information Pack Free _________ _________
□ Lease/Lend/Borrow Form Free _________ _________
□ Closed High Points Form Free _________ _________
□ Open Hi-Points Form Free _________ _________
(other than classes run by NZGHS for end of season trophy)
□ Registration Form(s) Free _________ _________
□ Show Dates Form Free _________ _________
□ Showing Rules and Regulations Leaflet $1.00 _________ _________
□ NZGHS Club Badge (suitable for pinning onto jackets) $2.00 _________ _________
□ NZGHS Club Embroidered Badge (suitable for $6.00 _________ _________
sewing onto hats, t/shirts, saddlecloths, show rugs etc.)
□ NZGHS Club Key Ring $5.00 _________ _________
□ Rules of Incorporated Society $3.00 _________ _________
I/Our family would like to sponsor a class at $_________
The National Championship Show (min. $20.00)
Total Amount Enclosed Cash/Cheque (Delete one) $_________
PLEASE MAKE CHEQUES PAYABLE TO: N.Z. Golden Horse Society Inc.
I agree to my name being published in the NZGHS show results, Stud Books etc.
____________________________ (Signed) _______________________ (Date)
For Office Use Only
Receipt No…………………….. Date:………………………
www.nzgoldenhorseanddilute.com