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Signed Position Print Name Date PAYMENT CATEGORY please select appropriate category 250. 00 CLUB AFFILIATE SPORT AFFILIATE National State Associations ie PCAWA RDA Agricultural Societies Breed Societies Price on Application COMMERCIAL AFFILIATE PAYMENT TYPE I enclose a cheque payable to Equestrian WA. State Equestrian Centre 303 Cathedral Avenue BRIGADOON WA 6069 P 08 9296 1200 F 08 9296 1194 E members equestrianwa.org. Au I www. wa.equestrianwa.org. au ABN 53 591 481 584 APPLICATION FOR...
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