ENTRY FORM
Ingarsby Challenge Cup
Cross Country Ride
9th December 2007
| TO: |
Penny Zygmant, Ingarsby Old Hall, Ingarsby, Leicestershire, LE7 9JL |
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Tel: 0116 259 5366 or 07739 687729 Email: pz@pzygmant.com |
Name: (print) |
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Address: |
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Tel No.: |
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Fax or email................................................. |
CLASS ENTERED: Lightweight........Middleweight........ Heavyweight.......
Ladies....... Gentlemen......... Visitor.......... Quorn Subscriber...............
Veteran................... Under 21......... Non-TB.........
(you may tick more than one class)
NAME OF HORSE:.................................................. HUNT......................................................
Remittance Enclosed: Cheques to be made payable to ‘Ingarsby Challenge Cup’
| Entry Fee: Main Ride |
- £50 |
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| Number Deposit |
- £10 |
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Total Paid |
_________ |
| Entry Fee for ‘Fun Ride’ |
- £30 |
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I have read and agree to the instructions and rules of the race
Signed:................................................................ Date:........................................
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