NOMINATION FOR MEMBERSHIP

I hereby accept Nomination as a Member of the Cambridge Jockey Club (Inc) and I agree to be bound by the Rules of the Club.

Signature :……………………………………….. Date :………………..……….

Nominee: (full name) Mr, Mrs Miss, Ms..………………………………..………

Address:……………………………..…………….…………………………………

………………………………………..………………………….……………………

Email Address : ……………………………………………………………………..

Phone No:……………….

Full season (2 Race Meetings) for $28.00 (GST inclusive)

Proposer : …………………………

Seconder : …………………………

Date : ……………………………….

Cambridge Jockey Club, PO Box 329, 40 Racecourse Road, Cambridge 3450,
New Zealand – Phone 07-827-6004; Fax 07-827-9072;
Email [email protected]; www.cambridgejockeyclub.co.nz