| Name of Team:........................................................................................................ |
| Name of Rider |
Name of Horse |
| ...................................................... |
................................................................ |
| ...................................................... |
................................................................ |
| ...................................................... |
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| ...................................................... |
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| Team Colours:........................................................................................................ |
| Name of Team Captain:.......................................................................................... |
| Address:................................................................................................................. |
| ............................................................................................................................... |
| ............................................................................................................................... |
| Tel: Day......................................... |
Evening:.................................................. |
| Mobile:.......................................... |
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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".
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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
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To view and print this entry form in a printer friendly format click here.
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