
(For family membership please enter all names and ages)
| Name | Age (if under 18) |
| Address: | ||
| Postcode: | ||
| Contact telephone: |
| Horse/Pony Name | Age |
| Junior £7.00 | Senior £10.00 | Family £17.00 | Super Family £25.00 |
| Not to have reached 16th birthday 01/01/2010 | Up to one senior and two juniors | Up to two seniors, two juniors or one senior, three juniors |
Please send a cheque made payable to S.E.E.D & R.C to the membership Secretary:
|
Emma Jarvis |
Telephone: 07731 472461 |
I agree to abide by the rules of the South East Essex Driving & Riding Club.
Signature: