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Member Details

Title*

First Name*

Last Name*

Date Of Birth*

Sex

Email*

Alternate Email1

Alternate Email2

Residential Address

Address

Suburb

Country

State*

Post Code*

Home Phone

Mobile*

Mailing Address

Address

Suburb

Country

State*

Post Code*

Work Phone Ext.

Fax No.

Other information

I/we hereby apply to become a member of the Australian Reined Cow Horse Association. In the event of my/our admission as a member, I/we agree to be bound by the rules of the association for the time being in force. *

I give consent for my photo to be taken/video recorded and used for marketing and/or judging requirements (please tick). *

Yes

Are you a rookie? *

Yes

ARCHA # (Put Nil if unknown or Not ARCHA Member) *

Are you a Non Pro? If yes, please complete declaration form below *

Yes

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
Do you want to renew your membership?

Primary Member must be an Adult/18+. Children/under 18 memberships can be added on the next page.

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.

EA number does not match member name.

To be eligible for this membership, a doctors certificate/para classification/RDA associate membership must be provided to the club to receive a code to apply for this membership type. Please type code in below.

Member Registration

Member Details

Residential Address

Mailing Address

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