nzequestrian.org.nz Ground Floor, 86 Customhouse Quay, Wellington 6011 PO Box 6146, Marion Square, Wellington 6141 EQUESTRIAN SPORTS NEW ZEALAND OFFICE USE ONLY CORRECT / INCORRECT UNDER / OVER PAID $ Please indicate which payment option you will use Cheque Make cheques payable to: Equestrian Sports New Zealand Direct credit Use your member number as reference First-time members please use full name Account No.: 06 0645 0074840 04 DATE PAID / / Credit Card 2.5% transaction fee applies NAME ON CARD CARDTYPE EXPIRYDATE / / CARDNUMBER EQUINE REGISTRATION APPLICATION APPLICANT DETAILS NAME MEMBER # ADDRESS POSTCODE EMAIL PHONE DAY MOB EQUINE INFORMATION Has this equine been previously registered with ESNZ? Yes ESNZ NAME REG# No 1ST NAME CHOICE * 2NDNAME CHOICE * *Please give us atleast two name choices. Phonetic lingo can be used (please also outline the word in full so we can protect the name e.g. Deviate is the full name for DV8). BREEDER STUDBOOK / REGISTEREDBREED# Has this horse been imported into NZ? No Yes If yes: IMPORTEDFROM Please attach a record of competition, or proof of no record for grading. OWNERSHIP DETAILS One owner must be a full member of ESNZ. Primary Owner (responsible owner unless stated otherwise) Same as applicant NAME MEMBER # ADDRESS PHONE Other Owner Same as applicant NAME MEMBER # ADDRESS PHONE Rider (must be a full member of ESNZ) Same as applicant NAME MEMBER # ADDRESS PHONE REGISTRATION FEES ESNZ Equine Registration (Compulsory) $65.00 Equine Annual Discipline Start Fees: Dressage Level 1 $60.00 $ Level 2 and above $90.00 $ Dressage Bridle Numbers (required in Dressage) $40.00 $ Dressage Test Book $18.00 $ Endurance and CTR I compete in Endurance CTR Eventing CNC2* & CNC3* $90.00 $ CNC1* $60.00 $ CNC105 $60.00 $ CNC95 & below $25.00 $ Medical Armband (required for Eventing) $18.00 $ Eventing Dressage Test Book $8.00 $ Jumping and Showhunter Horse $85.00 $ Pony $55.00 $ ID Books ID books are no longer issued unless requested. A fee of $20 will apply to all requested books. New horses registering for CTR / Endurance will receive their frst ID (log) book free. Optional ID book CTR / Endurance $20.00 $ Optional ID Book D / Ev / J / SH $20.00 $ Urgent application fee (required within 48 hrs) $20.00 $ Registration Application Total If this application is for a new horse, you will need to send in a completed Identifcation Paper (IP). This may be self completed by rider, owner, person responsible etc over 18 years of age. Blank IPs are available from the ESNZ website or by contacting ESNZ. This is compulsory and registrations will not be completed until IP is received. All pony applications MUST provide a current height certifcate.
Excerpts From The Book 'The Lawless State (The Crimes of The U.S. Intelligence Agencies) ' by Morton H. Halperin, Jerry Berman, Robert Borosage, Christine Marwick (1976)