Professional Documents
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Paeroa A&P
Paeroa A&P
Paeroa A&P
115th Annual Show at Paeroa Racecourse, Thames Rd, Paeroa Saturday, 10th January 2015
ENTRY FORM FOR EQUESTRIAN COMPETITORS
Entries close Friday, 26th December 2014 to the Secretary of Paeroa A&P Ass
Secretary - Chase Downham, 16 Kaikahu Rd North, RD1 Paeroa 3671 Phone (07) 8676766, Email-Paeroaaandp@hotmail.com, fb-Paeroa A&P Show
Name of Animal
Section/Ring
Class Numbers
Date of
Birth
Rider/Handler
Entry
Fee
Email: ______________________________________________________
Signature: ______________________________
Method of Payment: Cheque / Cash / Direct Debit (circle one)
Direct Debit Details ; A/c No: 03 1572 0033013 00, A/c Name: Paeroa A&P Association
Your signature on this entry form and/or participation in the competition denotes acceptance of all conditions explained in this schedule
and the Rules & Regulations of the RAS.
The Association disclaims any liability for injury or damage to persons, animals, vehicles or equipment whilst on the grounds.
Sub total
RAS levy $1 per class
Eg; 5classes = $5
Ground Fee
$3/Animal
TOTAL
$10.00