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APPLICATION - GOLD USER PASS
2020
Period Applied For
Please Select
6-Months
12-Months
Applicant Details
Name
Address 1
Address 2
Suburb
Postcode
Email
Mobile Phone
Parent/Guardian (Where applicant is under 18-years of age)
Club Membership:
I am a member of the following Affiliated Club (list main Club only):
Please Select
Albany Adult Riders Club
Albany Horsemans Association
Albany Pony Club
Albany Natural Trailriders
Southern Districts Dressage Club
Friends of the A.E.C.
Payment Receipt Details
Date of Application
Gold Pass Term: Months
Gold Pass Expires
Amount Due
Amount Paid
Date
Receipt Number
Direct Transfer
Account Name
Albany Equestrian Centre Inc
BSB
633-000
Account Number
143217743
Your Application will not be accepted without payment of the above fee
Acknowledgement
By submitting this Application Form, I hereby agree to abide by the Constitution, Policies and the Rules and Regulations of the Albany Equestrian Centre Association Inc (www.albanyequestrian.net), in addition to the following conditions relating to the Albany Equestrian Centre Gold User Pass:
• Gold User Pass is only available to A.E.C. members;
• Gold User Pass is personal only and is not transferable;
• All usage must be booked prior to use.
Normal booking conditions apply.
Recurring bookings may be limited according to general demand, and must be confirmed regularly;
• Notification of cancellation
must
be confirmed when booking is not used;
• Cancellations must be minimised.
Ongoing cancellations may result in ability to make future bookings;
• The Gold Pass access applies to the pass holder only and is not transferable;
• When facilities are shared, the booking manager must be informed, and each user is responsible for their payment arrangements;
• Breach of any of these conditions may result in immediate cancellation of the Gold Pass usage.
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