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W E S T W I L T S E Q U E S T R I A N C E N T R E |
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Melksham Road Holt Near Trowbridge Wilts BA14 6QT |
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Tel/Fax: 01225 783220 Mobile: 07855 464075 |
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ENTRY FORM |
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TITLE OF EVENT |
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DATE OF EVENT |
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| RIDER |
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| REQUESTS |
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NAME |
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ADDRESS |
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TEL |
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e-mail address |
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TOTAL ENCLOSED (CHEQUES PAYABLE TO WWEC) |
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SIGNED |
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CREDIT/DEBIT CARD DETAILS Name on card .................................................................................... Card No ....................................................................................... Expiry Date ........................ Issue No/Valid From Date ........................ Security Code (last 3 digits on signature strip) .............
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VAT NO: 543 3516 58
THE PERSONS ENTERING ON THIS FORM ACKNOWLEDGE THAT THE PROPRIETORS DO NOT ACCEPT LIABILITY FOR ANY INJURY TO PERSONS OR ANIMALS OR DAMAGE TO PROPERTY HOWSOEVER CAUSED. ALL PERSONS PARTICIPATING IN ACTIVITIES ON THESE PREMISES OR ATTENDING AS SPECTATORS DO SO ENTIRELY AT THEIR OWN RISK AND ACKNOWLEDGE THAT THEY WILL INFORM OTHER ENTRANTS, ON THIS FORM, OF THESE CONDITIONS, SHOULD THIS FORM BE FILLED IN ON BEHALF OF OTHER PERSONS.