Join or Renew Membership

(New Application please complete all details – Renewal Please complete your name and any details that have changed)

Please include an email address wherever possible

Name:*
Do you race/breed in a Syndicate/Business Name:?
(if YES, please include name of Syndicate/Business)
Postal Address:*
Telephone:
Mobile:
Fax:
Email Address:
Payment Type
New Application Renewal
*

I hereby apply for membership of the Harness Breeders NSW Incorporated

I agree to be bound by the rules of that Association and that my contact details may be provided to kindred harness racing parties to further promote the industry.
* Indicates a required field.
Leave this field empty

Annual Membership $75.00. Please send cheque / money order, or for internet or bank deposit use account details below and include your surname as description.

Westpac Bankstown
BSB: 032 -061
Account: 912 763
Name – Harness Breeders NSW Inc.

Or if you prefer to download the Form (below), complete and post your membership details:

Download Application Form (includes Credit Card payment details)