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Horse No1 Registered Name	Please enter a valid date
Breed/Association	Please enter a valid date
Horse's Association Registration Number	Please enter a valid date
Horse No 1 is Double Registered 2nd Registration Number	Please enter a valid date
Your Horse Association Membership number	Please enter a valid date
Your Horse Association Membership Number No 2	Please enter a valid date
Your Horse Association Membership Number No 3	Please enter a valid date
Occupation	Please enter a valid date
As a club member, I wish to help at club events doing: *	Please enter a valid date Required field is missing.
2nd Horse Registered Name	Please enter a valid date
2nd Horse Breed Association	Please enter a valid date
2nd Horse Association Registration Number	Please enter a valid date
Horse No 2 Your Association Membership Number	Please enter a valid date
3rd Horse Breed Association	Please enter a valid date

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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.

Burpengary Western Performance Club

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