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North Coast Equestrian Club Inc.
Membership Application 1  July 2019 to 30 June 2020

Name/Family:*
Phone or Mobile:*
E-mail:*
Address:

Emergency Contact Details

Emergency Contact Name:*
Emergency Contact Phone:*
Membership Type:*

12 Month Membership Fees:
Family Membership (Parent/s & their Children U17): $60.00
Adult Single: $40
Junior (under 17) Single: $30.00

Please list family members here:
Please indicate your interests:
Do you object to the club providing the details above to sponsors for the purpose of mailing lists?:
Are you happy to have your or your child's photograph published in the NCEC website or newsletter?
Waiver read:*

Payment of NCEC Membership Fees

Payment of Fees:*

Payment Options:

1. Bank Deposit
Bank: BCU
BSB: 533-000
Acc. No. 161966 (+S11 for BCU members only).
Acc. Name: North Coast Equestrian Club
Please use “MEMBYOURSURNAME” as your reference when transferring  so we can find your payment easily. Also please fill that reference in the field below.

2. Postal - Please mail your cheque to:
The Secretary
North Coast Equestrian Club Inc.
PO Box 2126
Coffs Harbour NSW 2450

3.  Pay Membership fees via Nominate in conjunction with an NCEC event. Please advise which event below.

All membership payments are to be made electronically via Bank Deposit or Nominate or via Cheque. If you would like to pay via an alternative method please contact the secretary to arrange.
Once we receive your payment you will be emailed with your 2019-2020 NCEC membership Number.
If you have not received that confirmation within a week or two of your payment clearing, please email events@northcoastequestrianclub.com.au and we will follow up. We cannot consider your membership current and you covered by our insurance until your payment is received.

My Bank Deposit Reference:
Paying via Nominate with this NCEC event:


PLEASE NOTE:
Riders under 15 yrs must be supervised by an adult at all times during club activities.

Word Verification:
DECLARATION: I hereby agree to abide by the rules of the North Coast Equestrian Club Inc. and any conditions the club and elected Committee sets down. This must be agreed to and submitted by the Adult member, or the legal parent or guardian of a junior member.*

Membership Forms

Click to download

Now join ONLINE

NCEC 2018 - 2019 Membership Form

Member Waiver

Non-Member Waiver

All new or renewing
membership forms
must be accompanied
by the signed waiver.