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BERMUDA EQUESTRIAN FEDERATION LIMITED |
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BERMUDA EQUESTRIAN FEDERATION LIMITED |
| Name of Member(s): | |||
| Full
Mailing Address: |
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| Home Phone |
Work Phone |
Home Fax |
Work Fax |
| Place of Work & Phone (Adult Member) |
Place of Work & Phone (Adult Member) |
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| EMAIL ADDRESS: | |||
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DUES - Tick applicable box |
Review Membership Categories & Fee Information | ||
| Initiation Fee (new or expired membership only) **Juniors are not required to pay initiation | $ 30.00 | ||
| Senior/Adult Member (Advise stable below) | $100.00 | ||
| Family Member (List Junior competitors & information required below) | $150.00 | ||
| Junior Competitor (Complete information required below) ** | $50.00 | ||
| FEI Rider ID - Applies to overseas competitors competing at CSI, CCI & CDI levels only | $15.00 | ||
| Key to National Equestrian Centre | $50.00 | ||
| Affiliated Clubs | $200.00 | ||
| X |
PAYING ONLINE IS NO LONGER ACCEPTABLE |
($)Total | ______ |
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LIST JUNIOR COMPETITORS & date of birth |
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| Name |
Date
of Birth |
Name
of Local Coach One only please |
Indicate either/both R-Rider or D-Driver |
| A | A | A | |
| B | B | B | |
| C | C | C | |
| Stable at which competitor(s) rides (Do not leave blank) | A | B | C |
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Stable Codes: Hinson Hall (HH), Spicelands (SRC), Inwood (INW), Terceira's (TS) Specify other |
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| NAME OF PARENTS |
PLACE OF WORK |
PHONE |
| Father: | ||
| Mother: | ||
| ADULT COMPETITOR |
STABLE |
Indicate either/both |
| Name: | ||
| Name: | ||
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