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					         Andalusian Horse Association of Australasia (inc)
                           P.O.Box 266, Torquay, Victoria 3228

                              MEMBERSHIP FORM
                                  (Please print in block letters)

I,
Mrs/Mr/Miss/Ms:………………………………………………………………………………………


or stud name:……………………………………………………………………………………………..


of:………………………………………………………………………………………………………….


………………………………………………State:…………………..Postcode:……………………….


Telephone: (Home) (     )……………………..(Work) (               )………………………………….……….


Fax number:(     )……………………………………..Email:…………………………………………..

I wish to join/renew my Full/Associate * membership.

Full membership fee of $120.00 (includes $5.00 insurance levy)

Part year, Applications received after 1 st July New members only $80.00

Associate membership fee of $80.00 (includes $5.00 insurance levy)

Junior membership (under 18 years) fee of $60.00 (includes $5.00 Insurance levy)

Initial joining fee (new members only) of $25.00

*Circle the one which is applicable.

                                       MEMBERSHIP
                                       DECLARATION

To: Federal Secretary

Please accept payment of my subscription
DATED:……………………………………………
for FULL/ASSOCIATE * membership of
the Andalusian Horse Association of        SIGNED: (Print name beneath signature)
Australasia Inc. for the forthcoming year.

In REQUESTING/RENEWING * member-                   …………………………………………………...
Ship, I agree to be bound by the Constitu-
tion and Rules of the Andalusian Horse
Association of Australasia Inc.                    …………………………………………………...

Please note that Stallion and Mare owners must be Full Members. Gelding owners may be
Associate members.

MEMBERSHIP YEAR IS FROM 1ST JANUARY UNTIL 31ST DECEMBER

				
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