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Club Member
Club Administration

Coleambally Equine Centre

Member Registration

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Member Details

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Last Name:* Please enter last name

Date Of Birth: Please enter a valid date

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Residential Address

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Mailing Address

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Work Phone: Ext:

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Other information

Rider FEI:

Rider EA:

Occupation:

Financial:

What areas are you willing to help with?:

Please enter a valid date

Running canteen:

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Yes

Organising judges :

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Yes

Organising training clinics:

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Yes

Jump and grounds maintenance:

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Yes

Fundraising:

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Yes

Sponsorship:

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Yes

Promotion:

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Yes

Organising events/competitions (general organisation leading up to an event ):

Please enter a valid date

Yes

Running events (general organisation/help during an event/clinic/comp):

Please enter a valid date

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.

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