2021 MEMBERS VIRTUAL TRAINING 28TH FEB

2021 Members Virtual Training Tests 27th & 28th Feb
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* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Name of Horse *

OTT ? *

YES NO

NEXT OF KIN *

First

Last

NOK Phone Number *

Young Rider? *

Yes No

Junior Rider *

Yes No

Pony *

Yes No

Test One $15.00 *

TEST TWO $15.00 *

TEST THREE $15.00 *

PROGRAMME & RULES *

Max file size: 20MB

Total Cost. Please send to Bank account BSB 066115 ACC 10634524 Ref Surname Virtual *

Further Information *

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