The WA Regional Promotional Group of the Welsh Pony & Cob Society of Australia Inc.
TAX INVOICE ABN 70 066 732 367 Welsh & Part Welsh Newcomer Stallion Award 2013 March 3 2013 ENTRY FORM Entry & Administration Fee: $40 Ground Fee: $5 HORSE/PONY NAME: WP&CS REGISTRATION NUMBER: HEIGHT: OWNER/LESSEE NAME: ADDRESS: CONTACT PHONE NUMBER: EMAIL: WP&CS MEMBER NUMBER: Registered for GST: YES/NO ABN: RIDER NAME: WP&CS MEMBER NUMBER: If not a member, please supply a signed waiver form. DECLARATION: I hereby declare that the above horse/pony has never competed under saddle in any discipline, either official or unofficial prior to October 8th 2011. Owner/Lessee to sign (If under 18 years to be signed by parent or guardian) Date ENTRIES CLOSE February 8th 2013 Post entry and cheque or money order (WA RPG) of $40 to: WA RPG Newcomer Stallion Award 280 Lion St SAWYERS VALLEY WA 6074 CHECKLIST: o o o Photocopy of back and front of WP&CS registration form Photocopy of back and front of owner/lessee WP&CS membership card Photocopy of back and front of rider WP&CS membership card or signed waiver
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