Entry Form - HorseDates

advertisement
British Dressage Affiliated Competition Entry Form
Name of competition
Date
Bridle No. (org. use only)
Horse Name
Owner's Name
Horse Registration No.
Rider Name
Gender
Rider Membership No.
Age
Rider Group
Breed
Entry 1
Entry 2
Entry 3
Class
Section
Entry Fee ++
Already Qualified
++ £1.85 of Entry Fee is paid to BD and is not, therefore, subject to
VAT
Stabling:
Straw/Shavings boxes for nights of
Eligibility for special prizes:
Preferences
Address
Town/city
County
Day telephone no.
Postcode:
Evening telephone no.
Total entry fee
Stabling fee
Total
Credit/Debit card details
This payment option is only available at certain venues. Please check special notes section in competitions schedule.
Full Name:
(as printed on your credit card)
Credit Card Number:
Start Date:
Issue number:
/
Expiry Date:
(last 3 digits on signature strip)
/
I certify that the Owner and Rider are Members of British Dressage
and that the Horse/Horses is/are registered with British Dressage.
(With the exception of Competitors using the Class Ticket System)
I confirm I have read rule 21 (Liability) and I agree to abide by the
rules contained in the Official Dressage Rule Book.
SIGNATURE:
Post Entries to: Entries Secretary, 158 Yarmouth Road, Broome, Bungay, Suffolk NR35 2NZ
or enter online via our online entry system on our events page @
www.broadsequestriancentre.co.uk
Download