EDRC Membership Form - 2012

PLEASE PRINT ALL YOUR DETAILS CLEARLY OR YOU MAY NOT RECEIVE NEWSLETTERS

Name:
Age on 1st January 2012 (If under 18)  

Address:



Email:

PLEASE PRINT YOUR EMAIL CLEARLY OR YOU MAY NOT RECEIVE NEWSLETTERS

Postcode:        Tel:      Mobile:  

Horse  Pony     (Tick which)   Name:  

Subscription -- Please choose type of subscription

I enclose my subscription for £18.00. ( With email newsletters etc.)

I enclose my subscription for £22.00 (Includes extra £4 to cover postage as opposed to email)

Subsequent family members living at the same address should pay £12.00 per member.

Cheques payable to EDRC and must not be post dated. You are NOT a member
until your subs have been paid.

I have read & I agree to abide by EDRC rules.

Signed:____________________________________    Date:

Name & Signature of Parent or Guardian of junior members under 16 yrs. PLEASE PRINT CLEARLY

………………………………………………………………………… Contact No: …………………………………….

Please return your completed form to:-
EDRC, Red House, Cornley Road, Misterton, Doncaster, DN10 4AY

Please Note: The information submitted is kept electronically and is ONLY used for Club purposes. It will NOT be made available to any other party.

Photographs may be taken at any EDRC Event and used by EDRC.  By becoming a member of EDRC you agree this without exception.