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Online Membership Application

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Name :
Address :
Phone :
e-mail :
Participant Code :
Date of Birth (for junior member applicants) :
Membership Type : *
Prefix First Choice :
Prefix second choice :
Prefix third choice :
Declaration : *
I agree

I am desirous of becoming a member of the New Zealand Ayrshire Association (Inc) and hereby agree to conform to the Rules and Regulations of the Association until the termination of the year in which I shall withdraw from it by notice in writing to the Secretary.


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