ENTRY FORM
INTERMEDIATE 3'3" TEAM CHASE

Name of Team:........................................................................................................
Name of Rider Name of Horse
...................................................... ................................................................
...................................................... ................................................................
...................................................... ................................................................
...................................................... ................................................................
Team Colours:........................................................................................................
Name of Team Captain:..........................................................................................
Address:.................................................................................................................
...............................................................................................................................
...............................................................................................................................
Tel: Day......................................... Evening:..................................................
Mobile:..........................................

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 Saturday 27th August 2005
No entries will be accepted without the correct Entry Fee.
Cheques should be made payable to "Berkeley Team Event".
Entries to: Mary Evans
3 Walton Rise
Westbury on Trym
Bristol BS9 3EU
Tel: 0117 950 3799
outlandshorses@hotmail.com

Please telephone for start times 0117 950 3799
Between 6 - 9.30 pm THURSDAY 1st SEPTEMBER ONLY

PLEASE WRITE ANY POINTS OF INTEREST ABOUT YOUR TEAM
OR IT'S MEMBERS ON THE BACK OF THIS FORM