| 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 - £108 (this includes £2 per person towards ambulance costs)
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".
Please telephone 0117 950 3799 for start times
Between 6 - 9.30 pm THURSDAY 1st SEPTEMBER ONLY |
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WRITE ANY POINTS OF INTEREST ABOUT YOUR TEAM OR IT'S
MEMBERS OVERLEAF
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