PYTCHLEY HUNT SUPPORTERS ASSOCIATION
TEAM CHASE AND HUNTER TRIAL 17th OCTOBER 2004

ENTRIES CLOSE 10.00pm MONDAY 11th OCTOBER. After this time Classes 3 and 4 will be charged an additional £10 entry Fee

ENTRY FORM

TEAM CHASE ENTRIES:      TEAM NAME__________________________________

CLASS:____________ SECTION__________________________

RIDER	HORSE	ENTRY FEE
1__________________________________________________________________________
2__________________________________________________________________________
3__________________________________________________________________________
4__________________________________________________________________________

HUNTER TRIAL ENTRIES:

CLASS	RIDER	HORSE	ENTRY FEE
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

age if under 16 years.............................PHSA member......................

CHEQUES MADE PAYABLE TO P.H.S.A. TOTAL ENCLOSED_________________

NAME____________________________________________________________

ADDRESS_________________________________________________________

__________________________________________________________________

_________________________________ Postal Code ______________________

Tel:No: Day________________________Evening_________________________

On behalf of the team/individual, I agree that we will abide by the rules of the schedule.

Signature___________________________________

PLEASE SEND ENTRIES TO THE SECRETARY ENCLOSING YOUR CHEQUE
AND A STAMPED ADDRESSED ENVELOPE.