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Title

First Name*

Last Name*

Date Of Birth

Sex

Email*

Alternate Email1

Alternate Email2

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Address

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Stud Name

I DO NOT give authority for photographs of me to be used

Do you have any pre-existing medical conditions? *

Yes

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 over 18 years of age.

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.

Donkey All Breeds Society of Australia

Member Registration

Member Details

Residential Address

Mailing Address

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