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Entry Form
Grafton Hunt - Team Chase 2005
BLOCK CAPITALS PLEASE
Class No. ...................................................................................................................................
Team Name ...............................................................................................................................
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Forename
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Surname
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1 |
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2 |
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3 |
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4 |
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Classes 3 & 5 only - Please ensure you tick below any Special Prizes for which your Team is eligible:-
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| Class 3 |
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Pony Club / School Team
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Class 3 |
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Class 5 |
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Grafton Team
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| Entry Fees: |
Class 3 - £55; |
Class 4 - £80; |
Class 5 - £60 |
No entry will be accepted without the correct entry fee
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I enclose Cheque / Postal Order for £ .............................................................. .........................
(Please make cheques payable to Grafton Hunt Team Chase)
On behalf of the Team, I agree to abide by the Rules and Conditions as outlined in this schedule.
| Signed............................................................................ |
Date..................................................... |
Name |
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Address |
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Tel No |
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It is most important that we have a telephone number so that we may contact you in the event of cancellation
| Entries to: |
Mrs Vivienne Harvey, Brooktrout Cottage, Brookside, |
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Lillingstone Lovell, Bucks MK18 5BD |
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Entries close on Monday 12th September 2005
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For starting times please ring on Thursday 15th September between 7pm and 10pm
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(Telephone 01280 860443 )
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Entries after closing date accepted at discretion of Secretary, subject to availability.
Please include any notes for the commentator on the reverse of this form. Open Teams please include your MFHA Open Qualifier Team Profile with your entry.
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