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| Entry Fees (inc £5 MFHA levy) |
Class 1 - £110 |
Class 2 - £90 |
Class 3 - £130 |
Class 4 - £80 |
BLOCK CAPITALS PLEASE
Class No. .................Team Name ..........................................................................................
|
Forename |
Surname |
|
1 |
................................................................................................................................................ |
2 |
................................................................................................................................................ |
3 |
................................................................................................................................................ |
4 |
............................................................................................................................................... |
Classes 1 & 4 - Please ensure you tick below any Special Prizes for which your Team is eligible:-
|
| Class 1 |
..................... |
Grafton Team |
Class 4 |
................... |
|
| Class 4 |
..................... |
Pony Club / School Team |
Class 4 |
................... |
Family Team |
Payment has been made by BACS to NatWest, Stony Stratford, Sort Code: 60-20-34, Account No: 2761571 quoting team name for £..........
OR I enclose Cheque (made payable to Grafton Hunt Team Chase) for £..........