Clinic Registration Form Saturday 18th November 2017
Location: 305 Camerons Lane, Beveridge Time: Arrive 9am for a 10am start Groundwork, Lunch 12-1, Ridden till 3pm Finish. Cost for the clinic per rider is $80. Your place can be secured with full payment.

* indicates required fields 
  *Name:
  *Address:
  *Contact Number:
  *Email Address:
  *Emergency Contact Person:
  *Emergceny Contact Phone Number:
  *Horses Name:
  *Horses Breed:
  *Horses Age:
  *Address where horse is normally kept:
  *Payment made Via EFT:  Yes
 No

Payment can be made via direct deposit to the account below with your name as reference. *payment is transferable but non refundable. Roseneath Performance Horses BSB: 083 644 ACC: 17236 6850. After filling the details click on the SUBMIT button.
 
 Roseneath Performance Horses PO Box 531, Kilmore, Victoria 3764 Phone: 0488 645 674 , 0419 370 645  ABN: 83926964727
Horse Breaker Kilmore, Victoria
Copyright 2009, by F. L. Deppeler. All rights reserved. Text, images and design are protected by International Copyright Laws, and may not be copied, reprinted, published, translated, hosted, or otherwise distributed by any means without explicit permission.


 
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