CentralOtago-Clyde

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

Are you a Certificate Examiner *
If Yes at What Level
Do you coach at Pony Club? *
If Yes at What Level
Ethnicity - Choose from the following options *

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