Cornwall Dressage Group Membership Application Form
2007 - 2008

Please print a copy of this form, complete and send with a cheque and SAE to the address below
________________________________________________________

Name (Mr. Mrs. Miss)

Address





Post Code
Tel. No.                   
Email

Date of Birth (if under 16)

I wish to become a member of the Cornwall Dressage Group and enclose my subscription of £10 (Adult)  £6 (under 16 years). If accepted, I agree to abide by the rules of the Group and I will insure myself, my horse and anyone riding my horse against any third party claim.

Signed..................................................      Date.....................................
Cheque payable to Cornwall Dressage Group

Please send with SAE to:-
Mrs S.F.Stevenson
Lower Woon Farm
Lanivet, Bodmin
Cornwall. PL30 5JE