Membership Form- August 2025

Membership Form- August 2025

Membership Form

1st August 2025 to 31st July 2026
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
AQHA Member number
PHAA Member Number
AAA Member Number
RHAA Member Number

MEMBERSHIP

Single Membership

$50.00AUD

Family Membership

$100.00AUD

Additional Member

Competitor over 18 Years Old in the same household

$35.00AUD Quantity

Youth Membership

Up to 18 Years Old

$40.00AUD Quantity

Day Membership

$20.00AUD

Social Member

$20.00AUD Quantity

Enter coupon

Subtotal

$0.00AUD

Tax

$0.00AUD

Total

$0.00AUD

Payment Methods

Credit Card

Apple Pay

I am a financial member of:

AQHAPHAAAAARHAA
Type membership number here
- Additional Family Member 1
- DOB
  
  MonthDayYear
  Date
- Additional Family Member 2
- DOB
  
  MonthDayYear
  Date
- Additional Family Member 3
- DOB
  
  MonthDayYear
  Date
- Additional Family Member 4
- DOB
  
  MonthDayYear
  Date
- Additional Family Members - Must include Name, DOB & Breed Membership Number