Membership Application
  1. Should you wish to join or renew membership with NEMAS during the 2015/2016 membership period. It is required that you complete and submit this form.

     

    Membership will cover the financial year. The membership fee will remain the same regardless of when an application is made.

    All applications for new membership are subject to committee approval and we will notify applicants as soon as possible.

    *Note: NEMAS reserves the right to reject any application for any reason without explanation.

    Each individual will need to complete their own form. Parents will also need to complete a form for each child under 13.

  2. Adult Annual General Membership $35

    Teenager General Membership 13-17yo $25

    Secondary Membership $20 (must provide Primary Group details and insurance number)




  3. First Name(*)
    Use only letters
  4. Last Name(*)
    use only letters
  5. Date of Birth(*)
    Please use dd/mm/yyyy
  6. Address(*)
    Invalid Input
  7. Town(*)
    Invalid Input
  8. State(*)
    your state
  9. Post Code(*)
    Invalid Input
  10. Email(*)
    Invalid Input
  11. Please select one or both of the following contact details.
  12. Phone number
    Please include area code
  13. Mobile number
    Please include area code


  14. Horse Rider
    Invalid Input
  15. Combatant
    Invalid Input



  16. Answer "yes" to the following if you are a new member or did not renew your membership for 2014/2015.
  17. New Member (*)
    Invalid Input