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NZTBA Application form

To join the NZTBA please use one of the following forms:

Interactive PDF Application Form (requires Adobe Acrobat Reader) - complete online, print out and fax or mail to us at:

New Zealand Thoroughbred Breeders' Association
Private Bag 99908, Newmarket
Auckland 1149

NEW ZEALAND 
Fax: (64 9) 525 2434

 

 

If you have the facility to PDF your interactive application form, email it to us at
nztba@nzthoroughbred.co.nz

 

GST REG. No: 10-387-272

Please print then complete and mail or fax this form

APPLICATION FOR NEW NZTBA MEMBERSHIP

I/We wish to join the New Zealand Thoroughbred Breeders' Association and receive membership benefits including the NZ Stallion Register.

NAME(S) (in the case of a couple or partnership please include both names):

____________________________________________________________

____________________________________________________________

ADDRESS:___________________________________________________

____________________________________________________________

PH: ______________(work)___________(home) FAX:________________

EMAIL:_______________________________________________________

 ANNUAL MEMBERSHIP SUBSCRIPTION

NEW ZEALAND RESIDENTS $NZ165.00 incl. GST
AUSTRALIAN RESIDENTS $NZ205.00
OTHER OVERSEAS RESIDENTS $NZ230.00
(overseas subscriptions include airmail postage but are exempt from GST)

Cheque Enclosed for: $NZ_____________________ or

Please charge my Credit Card: $NZ _____________

Please mail the completed form with your cheque, or fax with your credit card details to:

New Zealand Thoroughbred Breeders' Association
Private Bag 99908, Newmarket, 1149
Auckland, NEW ZEALAND 
Fax: (64 9) 525 2434

DINERS CLUB / MASTERCARD / VISA (Please circle one)

Card No:______________________________

Expiry date:___________________________

Card Name:___________________________

Signature_____________________________

 

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