NZCCA Membership - New Member Application

NZCCA Membership - New Member Application

2024-25 Season
One application per person please, unless a Family subscription.
Name*

First NameLast Name
Other names if Family subscription:
Name

First NameLast Name
Name

First NameLast Name
Your Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

Town/CityState / Province

Post Code
Membership type*

Adult $45Youth $30 - up to 18 years inclusiveFamily $100
List any other horse clubs/organisations you belong to:
Preferred payment of membership fee is by direct deposit to:
Bank: Westpac. Acc No: 03-0887-0493175-000

Name: NZ Cowboy Challenge Association Inc

Reference: Name and "Membership"

Thank you for your application.

NZCCA will email you to confirm your membership and provide a membership number. Membership can only be confirmed when all details are received, including payment.
I agree with the Objects of the NZCCA (refer Constitution) and will comply with its Rules and policies including the NZCCA Code of Conduct (attached):*
Date*

DayMonthYear
Date
Should be Empty: