Pippingford Manor Liveries

Entry Form Riders 2017 July 8th

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Entry Form Riders 2017 July 8th

ASHDOWN FOREST SPONSORED ENTRY FORM: RIDERS

Name:

Address:

 

 

Email:

Mobile number:

Entry Fee: £20.00 per rider  

Sponsorship: £5.00 suggested minimum but please be generous!

All entry fee cheques payable to: Ashdown Forest Sponsored Ride

or pay online to     -     Account number 01621696

  • Sort code 40-20-09.

One entry form per person by post or e-mail with postal entries to:

D. Waygood, 6 Paddock Gardens, East Grinstead, West Sussex, RH19 4AE

Telephone 07803 195311

Email to: dwaygood@live.com

Entry fee on the day £25.00 per rider plus £5 minimum sponsorship

Please sign below to confirm you accept the rules or entry as stated on our website (www.pippingfordlivery.co.uk) and that you have your own 3rd party liability insurance.

Signature:  (Adult to sign for children under 16)

 

 

 

 

 

 

 

Pippingford Manor Liveries 07803 195311
Pippingford Manor Livery
Millbrook Hill
Nutley
East Sussex
TN22 3HW
email@pippingfordmanorlivery.co.uk
01342 323934