| Name of Team:........................................................................................................ |
| Name of Rider |
Name of Horse |
| ...................................................... |
................................................................ |
| ...................................................... |
................................................................ |
| ...................................................... |
................................................................ |
| ...................................................... |
................................................................ |
| Team Colours:........................................................................................................ |
| Name of Team Captain:.......................................................................................... |
| Address:................................................................................................................. |
| ............................................................................................................................... |
| ............................................................................................................................... |
| Tel: Day......................................... |
Evening:.................................................. |
| Mobile:.......................................... |
Email:...................................................... |
On behalf of my team I accept the Conditions of Entry as in the Schedule |
| Signed:................................................... |
| Date:...................................................... |
Entry Fee: £88 which includes £2 per person towards ambulances
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".
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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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PLEASE ENCLOSE S.A.E. WITH YOUR ENTRY FOR
STARTING TIMES.
PLEASE 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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