Please use this form for new memberships only. If you are renewing your membership please click here

You will be required to pay an Annual Subscription fee of £30 plus a £5 joining fee (£35 total).

Membership Year  * 

2018 2019

Title / Initials

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First / Last Name *

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Full Racing Name *

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Address *

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Town and County *

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Result Town *

Post Code *

Telephone/Fax

Email

RPRA Loft Reg *

Winning Cheques made Payable To *

Club your RPRA Fees are Paid to *

Distance From Pau (Code 5034) *

Latitude/Longtitude *

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