ECTRA East Coast Team Roping Association

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ECTRA Membership Form

Membership Fee : $100.00 + 10% GST EFT Payments to ECTRA: BSB: 112879 Account Number: 473571065

Given Names

Surname

Residential Address

City/Suburb

Postal Address

Date of Birth

Home Phone

Work Phone

Mobile Phone

Fax Number

GST Registered ABN (If Applicable)

Previous Team Roping Associations

Classifiction

Rope Preference (please tick)

Headers 4 Strand NV4 Extra Soft 4 Strand GT4 Extra Soft

Heelers 4 Strand Powerline Medium Soft 4 Strand Heat Medium Soft

Do you wish your contact phone no. to appear on the ECTRA website Yes No