WINGERWORTH OPEN SHOW WELSH MEDAL SHOW 14TH AUGUST 2011

ENTRY FORM  WELSH MEDAL CLASSES ONLY                                                 ENTRIES CLOSE 8th AUGUST 2011

ENTRY FEE £8.00 PER CLASS   FOALS £2.00         CHEQUES MADE PAYABLE TO: WINGERWORTH OPEN SHOW

SEC USE

CLASS NO

NAME OF PONY                  

AGE

C/M/
F/G

REGISTRATION NO

SIRE & REG NO

DAM & REG NO    

HANDLER

ENTRY
FEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

OWNER NAME……………………………………………………………..                      
ADDRESS……………………………………………………………………
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POST CODE ………………………………….
TEL NO:………………………………………                I CERTIFY THAT ALL PARTICULARS GIVEN ARE CORRECT SIGNED ………………………………………

NUMBERS CAN BE COLLECTED ON THE DAY FROM THE SECRETARYS CARAVAN OR INCLUDE SAE FOR NUMBERS TO BE SENT.
COMPLETED ENTRIES TO: MRS J C BARBER, 95 BROOMFIELD AVENUE, HASLAND, CHESTERFIELD, DERBYSHIRE, S41 0NF. TEL: 01246 234706