Membership Application Form

Membership Form 2023/2024

* denotes Required Field
Applicant's Name*

First NameLast Name
E-mail Address*
Postal Address*

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Phone Number (AH)

Area CodePhone Number
Phone Number (Mobile)
Riding Level (optional)
Occupation (optional)
Membership Type*

Single Riding Member $60Junior Riding Member (twelve to seventeen years of age) $40Family Membership (includes your spouse and children under eighteen years of age) $80Non Riding Membership $40
Joining Fee

I am a new member or am rejoining after a period of absence of six months or more (additional $11 fee applies)
Total Payment $*
Agreement*

I wish to renew/apply for membership of the Yarra Valley Dressage Club Incorporated for the period of 1st July 2023 to 30th June 2024. I agree to be bound by the rules of the association for the time being in force and commit to help at Club official competitions and functions.
Payment Method*

EFT - BSB 633 000 Account: 120 534 870 Yarra Valley Dressage Club Inc; Reference – Surname plus "Membership"
Should be Empty:

Membership Form 2023/2024