| Please print out this blank form and fill it in |
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| SEVERN VALLEY RIDING CLUB |
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| MEMBERSHIP APPLICATION FORM 2009/2010 |
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| NAME: |
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ADDRESS: |
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POST CODE: |
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| DATE
OF BIRTH: (If under 21 only) |
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| TELEPHONE NO: |
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E-MAIL ADDRESS: |
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circle whichever applies to you: |
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| RIDING LEVEL: |
LEAD REIN |
JUST OFF LEAD REIN |
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NOVICE |
INTERMEDIATE |
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ADVANCED |
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| OWN HORSE/PONY: |
YES |
NO |
SHARE |
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LOAN |
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| IF
YOU WOULD BE INTERESTED IN REPRESENTING THE CLUB AT AREA COMPETITIONS |
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| PLEASE
INDICATE WHICH TYPE OF COMPETITION |
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| DRESSAGE |
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DRESSAGE TO MUSIC |
PAIRS DRESSAGE |
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| INDOOR
SHOW JUMPING |
SHOW JUMPING |
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EQUITATION JUMPING |
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| HORSE TRIALS |
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| MEMBERS
ARE ASKED TO HELP AT ONE SHOW PER YEAR. PLEASE CIRCLE WHICH TYPE OF SHOW |
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| YOU
WOULD PREFER TO HELP AT: |
OPEN SHOW |
DRESSAGE |
CROSS COUNTRY |
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| MEMBERSHIP FEES FOR 2009/2010: |
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| £15.00
FOR THE FIRST FAMILY MEMBER, £10.00
FOR EACH SUBSEQUENT FAMILY MEMBER |
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| PLEASE ENCLOSE MEMBERSHIP FEE WITH THIS APPLICATION,
MAKING CHEQUES PAYABLE TO |
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| SEVERN VALLEY RIDING CLUB |
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| AND RETURN TO RACHAEL KINGSLEY, CRUNDALLS FARMHOUSE,
CRUNDALLS LANE, BEWDLEY, |
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| WORCS., DY12 1NB
(TELEPHONE: 01299 404153) |
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| All
membership details are held on computer by the Club for mailing purposes and
at the British Riding Club's Office at Stoneleigh |
| If
you prefer not to receive information by direct mail from those to whom the
Riding Club's Office supply mailing lists, tick this box |
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| FOR CLUB USE ONLY: |
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| DATE
PAYMENT RECEIVED: |
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| (Valid
until 30th September, 2010) |
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| MEMBERSHIP
NO: (From 1.1.10) |
2010083 |
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Card Sent out: |
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