Membership Application – Lancefield Equestrian Group

Lancefield Equestrian Group (LEG) Inc

(formerly called Romsey and District Adult Riders (RADAR) )

The LEG Committee is delighted to be able to offer our current members a waiver for the Club Membership which is normally $50 per year.

The HRCAV has also reduced their fees as you will see in the fees listed below.

NEW MEMBERS WILL NEED TO PAY THE CLUB MEMBERSHIP FEE $50.00.

MEMBERSHIP APPLICATION/RENEWAL FORM 2020/2021

Please pay Lancefield Equestrian Group (LEG) Inc

PO Box 85, Lancefield 3435

Preferred Payment: by Electronic Transfer:
Account Name: Lancefield Equestrian Group
BSB: 633 000
Account No: 118 806 991
In the Description Your Name and Membership No

<<< Click the Fee Table to open a printable .PDF

Please fill in all information in the form below and submit

Please ensure that Membership Fees have been paid prior to submitting form, as your bank receipt will be required before proceeding…

Name*
First Last
Address*
Street Address Address Line 2 City State Post Code
Phone*
Email*
HRCAV CARD NO.
If Member of another Club, which Club:
In Case of Emergency
Date of Birth*
Date Format: MM slash DD slash YYYY
Emergency Contact Name*
Emergency Contact Number*
Allergies/Medication being taken, or any health problem the club should know.
Membership Type*
Select your Membership type - Fee structure is outlined below. Please note that if you are a current HRCAV Member, the HRCAV Levy does not apply.
Chaff Chat*
Select whether you would like Chaff Chat included - Fee structure is outlined below.
PRIVACY CLAUSE:
Are you happy for the HRCAV to supply your name and address details to any HRCAV sponsor?
- Yes
- No
Bank Receipt Number*
Please enter the Bank Receipt number that you received upon membership fee payment.
Upload Bank Receipt (optional)
Accepted file types: jpg, png, pdf.
I agree:*
That all fields are true and correct and that by submitting this form I agree to all terms and conditions as set out by Lancefield Equestrian Group inc.
- Yes
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