ST ANDREWS ADULT RIDERSNEW MEMBERSHIP & RENEWAL

2014/15 Financial Year (Full Year Membership)

Name / Phone
Address
Email
note all correspondence including rally bookings will be emailed.
HRCAV Level Assessed?
Respond Yes or No / Dressage
level assessed / Jumping Height
Emergency contacts (2 preferred)Compulsory
Name / Phone No. / Relationship (Spouse/Partneretc.) / ,
Name / Phone No. / Relationship (Spouse/Partneretc.) / ,
FEE DESCRIPTION / Amount / Totals
STAAR Full Year membership 1/11/14 – 31/10/15
Includesrally fees to all weekend rallies from November to October. / $351
STAAR Associate Full Year membership 1/11/14 – 31/10/15
8 weekend rallies per year (extra rallies available at $30 per rally). / $243
STAAR Fundraising Levy $50 per event
  • Levy is payable when assistance is not provided at our club events. A total of at least 8 hours over the 2 events is expected in order to be exempt from paying the levy.
  • The club holds 2 events per year: Working Bee,andShowjumping Event. Levy may be paid in advance in lieu of attendance, or a substitute task may be negotiated on discretion of committee.
  • This levy is not applicable to committee office bearers.
/ $100 in lieu of attending
Working Bee.
HRCAV Levy and Insurance (mandatory) Note: HRCAV Levy & Insurance for Junior members $73.45, Non riding members $22.
Note: If insurance paid through another HRCAV membership please provide name of club...... and HRACV Card Number ...... / $100.75
HRCAV Chaff Chat subscription (optional)Monthly HRCAV magazine / $54
St Andrews Pony Club - New Member Joining Fee One off joining fee for first time members ( not applicable to pony club members and parents). / $75
Grand Total

Payment - EFT Payment – Bendigo Bank BSB 633108 A/C 1128 11393 Use your full name as the reference.

Email completed membership form plus receipt of EFTto

HRCAV Annual Disclaimer Forms must be signed and scanned/emailed to Secretary or posted to PO BOX 80 St Andrews 3761

Please allow approx two weeks for processing you will be notified by email when membership is processed and you are permitted to ride on club grounds.HRCAV cards will be posted to you.

I have read and understood the STAAR membership policies and agree to abide by them:

NAME :…………………………………………….Date:………………………………….

*******************************************OFFICE USE ONLY **********************************************************

Date received by club secretary ......

Membership form completed: YES/ NO

Full payment received: YES/ NO

HRCAV Disclaimer received: YES/ NO

Note: If No applies to any of the above please notify applying person a membership incomplete notification.

Cards Received :YES/ NO

Cards Stamped:YES/ NO

Cards Posted:YES/ NO