Pinzgauer Membership Application

*Membership type

*Region

Untick journal and/or herdbook if you do not wish to receive them.

Require Journal

Require Herdbook

Title

Given name or initials

*Surname

*Postal address

*Suburb/town

*State

*Postcode

Residential address (if different)

Suburb/town

State

Postcode

Phone

Fax

Mobile

*Email

DO NOT give out email address for Publicity Material

Nominee is only required if membership is in the name of two initials eg. J.K. & L.M. Bloggs - J.K. Bloggs is the nominee

Nominee

Date of birth is only required for Junior members

Date of birth

In general a Stud Prefix is the name of a breeder's property and when registered, is to be placed before the name of each animal bred in the stud. Place in order of preference - please keep to no more than two (2) words.

Stud prefix 1

Stud prefix 2

Stud prefix 3

Please provide 3 options in order of preference for a 3 letter Herd Prefix which will form the start of the 'Secondary ID' for each animal.

Herd prefix letters 1

Herd prefix letters 2

Herd prefix letters 3

Type this verification word here:

By submitting this form I make application for membership of Australian Pinzgauer Breeders Association Limited and I agree to be bound by the rules and regulations of the Association.

Pinzgauer Membership Application

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