2022 MEMBERS VIRTUAL SUMMER CHALLENGE 19th/20 FEB

2022 Members Virtual SummerDressage Challenge

* 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

COMPETITION Test One $15 *

COMPETITION Test Two $15 *

COMPETITION Test Three $15 *

TRAINING TESTS *

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

please add your tests up and put total here

Further Information *

HAVE YOU PAID YOUR 2022 MEMBERSHIP *

Yes ,and im ready to go No, will pay now

I agree to receiving marketing and promotional materials

Submit

Contact Details:
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