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WHR Membership Application

Alone we can do so little; together we can do so much. (Helen Keller)

FORM INSTRUCTIONS

Fill in all parts of the form that are relevant to your situation.
Any (*) MUST BE FILLED IN

Click submit and you will be redirected to a page where you will be given options for how to pay for your membership. Be sure to advise WHR via email of payment details to avoid confusion.

FORMS THAT ARE NOT FILLED IN COMPLETELY WILL BE INVALID

* Full Name: Enter Name

Partnership Name: (if applic) Enter Company

Partnership/Family names: Please include the full names of ALL members of the partnership or family.

Email: Enter Email

* Membership Type

Single

Partnership

Family

Youth

Handler / Staff

*Duration:

1 year - New Member

1 Year

3 years

Life

Youth Only: AGE Age at application

* Image Verification:

* Payment Options

Required

PayPal / Credit Card

Bank Transfer

Cheque / Money Order

Submitting Form...

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Form received.

* Home Address: Enter Street Address

* City: Enter City

* State: Enter State

* Zip code: Enter Zip

* Country: Enter Country

Postal Address: (if applic) Enter Address

City: Enter City

State: Enter State

Zip code: Enter Zip

Country: Enter Country

* Mobile Phone: Enter Phone Number

Work Phone: Enter Phone Number

Home Phone: Enter Phone Number

HOME

MEMBERSHIP

REGISTRATION

ALL FORMS

MEMBERSHIP FORM
MEMBER RENEW FORM
REGISTER A HORSE
PREFIX APPLIC
BREEDING RETURN

SHOWING

PRICING

Copyright 2010 Western Horse Registry

BN98553813

WESTERN HORSE REGISTRY

36 Darrell Road

CALALA 2340

Ph : (02) 6765 2290

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