Membership Form (to July 2027)

Membership Form

1st August 2026 to 31st July 2027
Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
AQHA Member number
PHAA Member Number
AAA Member Number
RHAA Member Number
ADDITIONAL MEMBERS

(for Additional Membership and Family Membership)
1. Additional Member Name

First NameLast Name
Date of Birth
List memberships here (e.g. AQHA 754899, PHAA 9856, etc)
2. Additional Member Name

First NameLast Name
DOB
List memberships here (e.g. AQHA 754899, PHAA 9856, etc)
3. Additional Member Name

First NameLast Name
DOB
List memberships here (e.g. AQHA 754899, PHAA 9856, etc)

MEMBERSHIP Type

Single Membership

$50.00 AUD

Family Membership

Adults and their children in same household

$100.00 AUD

Additional Member

Competitor over 18 Years Old in the same household

$40.00 AUD Quantity

Youth Membership

Up to 18 Years Old

$40.00 AUD Quantity

Social Member

Non-riding member

$20.00 AUD Quantity

Enter coupon

Subtotal

Tax

Total

Payment Methods

Credit Card

Apple Pay