ASHBOURNE SHIRE HORSE SOCIETY 124th ASHBOURNE SHOW To be held at the Polo Ground, Osmaston, Ashbourne, Derbyshire SATURDAY 15th AUGUST 2015 ENTRY FORM FOR NON HOYS CLASSES ONLY ENTRIES CLOSE 27TH JULY 2015 LATE ENTRIES RECEIVED BETWEEN 28 JULY and 3rd AUGUST 2015 WILL BE CHARGED AT DOUBLE THE ENTRY RATE SHOWN IN THE SCHEDULE TH All competitors must sign the declaration on the bottom of this entry form. Failure to do so will result in the entry being returned. Entries, accompanied by fees and an A5 stamped addressed envelope should be sent to Mrs Sue Bradbury, The Croft, Church Lane, Gayton, Stafford, ST18 0HL All cheques and postal orders should be made payable to “ASHBOURNE SHIRE HORSE SOCIETY”. BACS payments – Account No 00016422, Sort Code 30-90-25 Lloyds TSB, Ashbourne, quoting “HORSE” DECLARATION Please use block capitals. I certify that the particulars given are correct to be best of my knowledge and belief. I agree to conform to, and to abide, by the Rules and Regulations of the Society. Any vehicle brought onto site will be adequately insured and will be driven by a driver who is legally entitled to do so. Name of Exhibitor: Title: Mr, Mrs, Miss, Other Address: Post Code: Tel No: Email: Please enter if you are happy to receive future schedules via email Note : Awards of special prizes will not be given if the eligibility is not declared on the entry form. If acknowledgement of your entry is not received at least 7 days before the show date, please contact the Secretary. Signature of owner or agent ......................................................................................................... Address if different to that above: Post Code: NO ENTRIES RECEIVED AFTER 3rd AUGUST 2015 WILL BE ACCEPTED Class No Name of Horse/type of vehicle (for private driving classes) Reg No Breed Height Sex Age Sire and Dam Owner Reg No Rider/ Driver Reg No Entry Fees (incl VAT) £ State if eligible for special prizes ENTRIES CLOSE 31st JULY 2015 LATE ENTRIES RECEIVED BETWEEN 1st and 7th AUGUST 2015 WILL BE CHARGED AT DOUBLE THE ENTRY RATE SHOWN IN THE SCHEDULE Total Entry Fees £ Members Subscription (if not already paid) £25 (inc. VAT) Additional Entrance Wristbands at £10 each Postage for numbers, passes etc. (£1 OR enclose A5 SAE) Total Remittance payable to Ashbourne Shire Horse Society
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