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EA number
Newsletter to be sent by email *	YesNo
Name of parent/guardian if under 18 years of age
I/we hereby (renew/apply) for membership of the above named incorporated association and I/We agreet o be bound by the rules of the association for the time being in force. *

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.

Namoi Horse Association

Member Registration

Member Details

Residential Address

Mailing Address

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