Headley Heath Riders Association
www.headleyheathridersassociation.co.uk
Application form for Annual Membership/ Renewal
Title (Mr/Mrs/Miss/Ms)
Surname
Forename
Home Address
Post Code
Date of Birth (if applying for junior membership)
Tel No:
Mobile No:
Email
Are you happy to have al correspondence via email
Have you been a HHRA member before? YES
NO
Membership No: (if known)
Name(s) of family member(s) (if applying for family membership)
Benefits of being a member of HHRA (Headley Heath Riders Association)
 Reduced entry fees to HHRA events.
 News letter.
 Helping to keep Headley safe for horses and riders.
 Meeting new people.
 30% of first BHS membership
If you are under 18, please also ask a parent or guardian to sign below:
Signature
Date
By signing this form you agree to read and abide by The National Trust rules.
Membership Profile.
This information will be retained and processed separately and anonymously and does not affect your rights under
the Data Protection Act 1998
Where do you keep your horse?
What are your preferred equestrian disciplines or areas of interests?
 Social
 Show jumping
 Dressage
 Eventing
 Cross-Country
 Hacking
 Clinics
Add up your subscription
Individual
Junior (16 years and under)
Family (up to 3 family members including 1 adult)
Associate (non-riding)
Total
£
£20
£15
£30
£10
£
SEND COMPLETED
FORM AND
CHEQUE(PAYABLE
TO HHRA) TO:
The Membership
Secretary
69 Dale Park
Avenue Carshalton
Surrey
SM5 2ES