2018 Membership Form for New and Existing Members

Membership Options A *
Membership Options B
SEG Polo Shirt
Select your size if applicable
Personal Details
Name *
Name
Name / Relationship / Phone Number
if applicable
if applicable
Please exclude me from emails related to special offers from sponsors and info updates related to other equine industry sources.
Additional Family Member Details
Name / Date of Birth / Riding or Non-Riding
Name / Date of Birth / Riding or Non-Riding
Name / Date of Birth / Riding or Non-Riding
Name / Date of Birth / Riding or Non-Riding
Areas of Interest
Share your interest areas to help SEG organise better activities for our members *
Tick all that apply
Membership Terms and Conditions
By ticking all the boxes below you agree to have read the terms and conditions and to uphold the standards set forth by SEG *

Payment Details

Account Name - Samford Equestrian Group

Bank - Bendigo Bank

BSB - 633000

Account - 159077460