AUSTRALIAN LIGHT HORSE ASSOCIATION LTD
A.C.N. 010 822 821
 
APPLICATION FOR MEMBERSHIP
The Australian Light Horse Association
PO Box 107 Beenleigh
QLD, 4207, Australia
Ph (Secretary): 07 38072382

SURNAME ............................................................................TITLE.................

FIRST NAME ................................................ 2ND NAME............................................

DATE OF BIRTH...........................................................

OCCUPATION.......................................................................

ADDRESS
Number.................... Street................................................................................................

Suburb (if applicable) .........................................  City / Town ..............................................

State................................................................ Post Code.................................................

Telephone (home).................................................... (work).................................................

Email................................................................. Fax.........................................................

Riding Member:       Yes...........       No............

Re enactment Troop joined (if applicable).............................................................................

I am a member of the following organizations (if applicable).......................................................

Weapons License No. ........................................................................................................

I understand that the Public Liability insurance only covers Members in Australia engaging in Light Horse activities. The renewal cycle for the Association is from the 1st of July to the 30th June the following year and pro rata rates do not apply. 2 copies of the Association magazine "Spur " will be forwarded to the above address each year one in April and one in October . Membership does not take effect until your subscription has been received and bank cleared.

I HEREBY APPLY TO BECOME A MEMBER OF THE AUSTRALIAN LIGHT HORSE
ASSOCIATION LTD AND AGREE TO BE BOUND BY THE RULES OF THE COMPANY
FOR THE TIME BEING IN FORCE.

SIGNATURE.............................................................     DATE...........................................

WE HEREBY NOMINATE THE ABOVEMENTIONED CANDIDATE AS A MEMBER OF THE
AUSTRALIAN LIGHT HORSE ASSOCIATION LTD. AND IN DOING SO BELIEVE THAT THE
CANDIDATE IS IN EVERY RESPECT ELIGIBLE ACCORDING TO THE RULES AND FIT
FOR MEMBERSHIP.
                                            (PLEASE PRINT FULL NAMES)           

PROPOSER................................................    PROPOSER................................................

MEMBERSHIP No .......................................   MEMBERSHIP No ..................................…..

SIGNATURE................................................    SIGNATURE...............................................

DATE..........................................................    DATE..........................................................