ENTRY FORM

CLASS 3: OPEN PAIRS
(block capitals please)

NAME OF PAIR	....................................................................................................
CONTACT NAME	....................................................................................................
ADDRESS	....................................................................................................
...................................................................................POSTCODE................................
TEL NO: (HOME)........................................   (MOBILE)..........................................
EMAIL	....................................................................................................

RIDER DETAILS:
NAME OF RIDER	NAME OF HORSE
1 ..................................................................................................................................
2 ..................................................................................................................................

An entry fee of £40 per pair ( this includes medical cover ) MUST accompany this entry form.
Entries will close on Friday 11th September 2009
Please send entry form to:
Hon Secretary Mrs. Vanessa Marment, Gabbits Copse, Kingston Lisle, Wantage, Oxon OX12 9QY
Email vanessamarment@aol.com Tel No: 07738 479435

IT IS A REQUIREMENT THAT ALL PARTICIPANTS CARRY THIRD PARTY INSURANCE FOR NOT LESS THAN £5M. IT IS STRONGLY RECOMMENDED THAT ALL PARTICIPANTS HAVE PERSONAL ACCIDENT INSURANCE.