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Alternate Email1

Alternate Email2

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If you are under 18yrs of age, please note you must advise of Parent & or Guardian details

Parent/Guardian Name:

Parent/Guardian Number:

Parent/Guardian email:

Parent/Guardian address:

Are you a current RHAA member? *

Yes

If yes, please advise of member number?

Are you a current RA member? *

Yes

If yes, please advise of member number?

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
Do you want to renew your membership?

Primary Member must be an Adult/18+. Children/under 18 memberships can be added on the next page.

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.

EA number does not match member name.

To be eligible for this membership, a doctors certificate/para classification/RDA associate membership must be provided to the club to receive a code to apply for this membership type. Please type code in below.

Mackay Ranchers & Reiners Inc.

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