NEW ZEALAND THOROUGHBRED BREEDERS’ ASSOCIATION
MEMBERSHIP APPLICATION FORM
I wish to become a member of the New Zealand Thoroughbred Breeders' Association and share in
the excitement of breeding, racing and other membership benefits
NAME(S) (in the case of a couple or partnership please include both names):
First Name
Last Name
First Name
Last Name
Address:
Phone (res):
Mobile:
Phone (bus):
Email:
Cheque enclosed: NZ$195 (incl GST)
Bank Account deposits
Or Credit Card
Visa
Australia NZ$235 International NZ$260
: 02 0360 0034917 00
Mastercard
Card No: ……………../……………./……..……../……………
Card Name:
(Tick one)
Expiry Date:…………/…………..
Amount: $...............
Signature (print & sign):
Scan and email to: nztba@nzthoroughbred.co.nz
Or Mail to: PO Box 1058, Cambridge, 3450
New Zealand Thoroughbred Breeders’ Association, PO Box 1058, Cambridge, 3450, New Zealand
Telephone:
(07) 827 7727 nztba@nzthoroughbred.co.nz www.nzthoroughbred.co.nz