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Secretary: |
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Secretary: |
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Mrs. Elaine Nellist, |
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Moss Barn Farm |
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Bashall Eaves |
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Clitheroe |
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Lancs. |
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Membership Application For 2010. |
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Please complete and forward this form together with a cheque &
large stamped addressed envelope |
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with the correct fees to : (ensure correct
postage added) |
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Janette Procter |
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ADRC |
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39 Thwaites Road |
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Oswaldtwistle |
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Accrington, BB5 4QT |
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Cheques made payable to: Accrington and
District Riding Club |
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ADRC USE ONLY |
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Name Of Members: |
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Date of Birth |
Number |
Sent |
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1. |
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2. |
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3. |
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4. |
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Address: |
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Postcode |
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Do you live in Hyndburn? |
Yes / No |
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Telephone No. |
Home |
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Mobile |
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Emergency Show Day No. |
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e-mail address** |
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**if email address supplied newsletters etc will be emailed
rather than posted |
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Existing Members (ie. 2009 members) |
New Members (fees below include joing fee) |
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Fees: |
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Before 01/04/10 |
After 01/04/10 |
Before 01/04/10 |
After 01/04/10 |
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Price |
tick |
Price |
tick |
Price |
tick |
Price |
tick |
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Senior |
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£21.00 |
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£22.00 |
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£23.00 |
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£24.00 |
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Junior |
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£19.00 |
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£20.00 |
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£21.00 |
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£22.00 |
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Family* |
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£38.00 |
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£40.00 |
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£40.00 |
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£42.00 |
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Non-Comp. |
£8.00 |
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£8.50 |
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£10.00 |
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£10.50 |
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Please note New members joining fee also payable for memberships
lapsed for over one year +£2.00 |
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* Family membership - Upto 3 Juniors and one parent. Names must
be nominated on this |
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form in order to qualify for points. |
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Signed |
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Date |
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