South East Queensland Paint Horse Club Inc

Member Registration

Member Details

Residential Address

Mailing Address

Other information

Are you a current PHAA member?:*
PHAA member number:
Are you a current AQHA member?:*
AQHA member number:
Are you a current AAA member?:*
AAA member number:
Are you a current APHA member?:*
APHA member number:
As a member of the SEQPHC INC I consent to the use of my name, photos and information given by me to the SEQPHC Inc for publication in advertising, magazine articles, printed material and other forms of media.:*
As a member I consent to my details being passed on to sponsors of the SEQPHC Inc.:*