| Name of Hunt:........................................................................................................ |
| Name of Rider |
Name of Horse |
| ...................................................... |
................................................................ |
| ...................................................... |
................................................................ |
| ...................................................... |
................................................................ |
| ...................................................... |
................................................................ |
| Team Colours:........................................................................................................ |
| Name of Team Captain:.......................................................................................... |
| Address:................................................................................................................. |
| ............................................................................................................................... |
| ............................................................................................................................... |
| Tel: Day......................................... |
Evening:.................................................. |
| Mobile:.......................................... |
Email:...................................................... |
| Schedule Signed:..................................................................................................... |
| Date:....................................................................................................................... |
Entry Fee: £88 (this includes £2 per person towards ambulance costs)
Entries close on Monday 11th October 2004
No entries will be accepted without the correct Entry Fee.
Cheques should be made payable to "Berkeley Team Event".
PLEASE ENCLOSE S.A.E. WITH YOUR ENTRY - FOR STARTING TIMES.
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| Entries to: |
Mary Evans
3 Walton Rise
Westbury on Trym
Bristol BS9 3EW
Tel: 0117 950 3799
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WRITE ANY POINTS OF INTEREST ABOUT YOUR TEAM OR IT'S
MEMBERS OVERLEAF
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To view and print this entry form in a printer friendly format click here.
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