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FEDERAL RIDING
FOR THE DISABLED INTERNATIONAL
 Name: ______________________________________________________
Title: (Mr
/Mrs /Ms /Prof / Dr /other): __________________________
Organisation:
________________________________________________
Address: ____________________________________________________
___________________________________________________________
Postcode:
________________________
Telephone:
____________________ Fax: _______________________
E-mail: ___________________________________________________
ORGANISATION AFFILIATION: _Mexican Association of Therapeutic Riding A.C.___
AMET,
A.C.
SIGNATURE:
_______________________________________________
Non-profit International
Org'n Reg. No. 3/13.246.S Ministry of Justice, Belgium A.B.N. 85 088 474 633
F.R.D.I., P.O Box 416, Ascot Vale, Vic., Australia 3032 Tel: 61 3 9376 5355
Fax: 61 3 9376 5944 Email: frdi@rda.org.au
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