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GARSTANG & DISTRICT HORSE
& PONY CLUB
MEMBERSHIP APPLICATION 2010
Membership
Renewal (per person): Before 1st April £10.00; After 1st April £15.00
Membership Group: Please note that ages are as at 1st January
in the current year:
Mini: 9yrs &
under, Junior: 10–13yrs, Intermediate: 14-17yrs, Senior: over 18yrs | ADDRESS: | HORSE/PONIES
NAMES: | | E-MAIL
ADDRESS: | TELEPHONE NO: | Signature:
(Parent/Guardian if under 18years) | I agree to comply with Club rules and regulations and sign this form on behalf
of all members listed. | ALL CHEQUES MADE PAYABLE TO:
GARSTANG
& DISTRICT HORSE & PONY CLUB | TOTAL ENCLOSED £ |
| Name | DOB | Membership
Group: | Membership No: |
| Name | DOB | Membership Group: | Membership No: |
| Name | DOB | Membership
Group: | Membership No: |
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