Paeroa A&P

You might also like

Download as odt, pdf, or txt
Download as odt, pdf, or txt
You are on page 1of 2

Paeroa A&P Association

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

Name: _________________________________________________________ Phone:_________________________


Address: _______________________________________________________ Mobile: ________________________
Post Code: ________________

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

Late Entry Fee


Membership

Ground Fee
$3/Animal
TOTAL

$10.00

You might also like