VRHA MEMBERSHIP APPLICATION 2018

VRHA MEMBERSHIP APPLICATION 2018

1st January - 31st December
Name *

First Name Last Name
E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *
Youth DOB

/ Day / Month Year
Parent/Guardian Name - Youth membership application

First Name Last Name
Parent/Guardian Phone - Youth membership application
Occupation / Business
Please volunteer to your club, support from the membership makes a difference to the future of your club. Your club is growing and if we dont have the voluntary help the club has to pay for help, please select from the lists below where your can help alternatively a $100 helpers donation goes towards assisting with the cost of paid help when its required.
Club Volunteer
I am available to assist at the following show/s
Please select an event to help at
I am available to help the club with
Please select an area you can help with
Membership Select New or Renewing *
NRHA & Reining Ausralia Membeships need to be applied for direct

To compete in Qualifying Shows, you must have full RA/NRHA Membership. To compete in Green rider & Ranch Riding classes only you musth ave RA Greenrider Membership.To compete in any open classes, you must hold a Professional, Non Pro or Youth Membership.

Application for these memberships can be made via the VRHA website links www.vrha.com.au
I am applying for the following VRHA Membership *

Adult Membership $ 65.00 AUD

Youth Membership 18 Years & Under $ 30.00 AUD

Helpers Donation - yes I would like to assist the club pay for workers when needed in addition to my membership $ 100.00 AUD

Friend of the 2018 Derby - Yes I would like to support the Victorian State Show in addition to my membership $ 50.00 AUD

10 Year Membership $ 500.00 AUD

Day Membership $ 20.00 AUD

Total $ 0.00 AUD
Membership Payment by Direct Deposit:

VRHA Bendigo Bank

BSB: 633 000 Account No:153242342

Reference Name+Membership
Should be Empty:

VRHA MEMBERSHIP APPLICATION 2018

Membership Payment by Direct Deposit:

VRHA Bendigo Bank

BSB: 633 000 Account No:153242342