Owners Contact Details Form

For the Registrar of Racehorses to be able to effectively communicate with owners, it is currently updating Owner records with particular emphasis on ensuring correct email and mobile phone details are complete. Please complete the on-line form below.

Title:
      If Other please specify:
                          (e.g. Major)
*Surname:        
*First Name:                       
Middle Name:                     

*DOB:

                                 Year:    

*Address Details:
Include number + street or P O BOX details
Abbreviate Street=St, Road=Rd, Avenue=Ave
Please enter spaces for P O Box number

  
*Suburb/Town:  
*State:         If Other please specify:                      
*Australian Post Code:       International Post Code:
Country:  
Email:    Tick this box if you do not have an email
Australian Area Code:         Australian Land Line Number:   
Australian Mobile:         Tick this box if you do not have a mobile
Country Code:     International Area Code:         International Phone Number:   
You are required to provide a mobile or a land line    

 

Thank you for taking the time to fill in your Contact Details.
(*Note: You must fill all the required fields)

For assistance Email: registrations@risa.com.au

Ph: 1800 138 704 Mon - Fri 10AM-4PM
For more information on the Use of Personal Information