APPLICATION - GOLD USER PASS  
  2020  
 
  Period Applied For
 
 
  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):  
   
 
 
  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.