ENTRY FORM
INTERMEDIATE (3' 3") TEAM CHASE

Name of Team:..............................................................................................................
Name of Rider Name of Horse
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Team Colours:.................................................................................................................
Name and address of team captain:.................................................................................
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Tel: Day......................................... Evening:.................................................
Mobile:...........................................................................................................................

On behalf of my team I accept the Conditions of Entry as in the Schedule.

Signed:.....................................................................................................
Date:........................................................................................................

Entry Fee - £88 (this includes £2 per person towards ambulance costs)
Entries close on Saturday 26th August 2006. No entries will be accepted without the correct entry fee.
Cheques should be made payable to "Berkeley Team Event".
Please telephone 07917 274419 for start times between 6pm and 9.30 pm on Thursday 31st August ONLY.

Entries to: Bianca Wright
22 James Orchard,
Berkeley,
Glos GL13 9TP

Please write any points of interest about your team and its members and horses below. This helps us make the commentary more interesting!