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Member Details

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First Name*

Last Name*

Date Of Birth*

Sex

Email*

Alternate Email1

Alternate Email2

Residential Address

Address

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State

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Home Phone

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Mailing Address

Address*

Suburb*

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State*

Post Code*

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I agree to photographs being taken and used by the Club *

Yes

I would like to claim a reimbursement under the NT Sports Voucher Scheme *

Yes

NT Sports Voucher No

NT Sports Voucher Expiry Date

Membership categories

Junior – Under 18 years as at 1 January

Senior – 18 years and over as at 1 January

Non-Competitive – Membership access to training/clinics/social/volunteer duties, but excluding competition at events

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.

Darwin Show Horse Club

Member Registration

Member Details

Residential Address

Mailing Address

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Membership categories