2012 Queensland State Dressage Championships - Equestrian ...

REGIONAL SUBSIDY APPLICATION – (Form 7 of 7)
As part of DQ’s initiative to promote dressage within Qld, the committee is offering a “Regional Travel” subsidy.
This subsidy is for any combination competing in the 2012 Qld State Championship who lives in regional Queensland.
Regional areas are defined as Gympie and north, west of Toowoomba but not including Toowoomba and northwest
of Nanango (as indicated in the Green Zones on the EI map).
How to Claim: Complete the following application form and forward with your entries. Do not forget to tick the
“Regional Subsidy” box on Form 2 – Summary of Fees. The OC will confirm your location and will deduce $200 from
the total of your entries.
One subsidy per rider of $200.00 is available on receipt of this completed form.
Event:
Address:
Date:
Rider’s Name:
Rider’s Address:
Rider’s Home Phone Number:
Rider’s Email Address:
Rider’s EA number:
Horse’s Name:
Horse’s EA Number:
Levels competing at the Event:
2012 Qld State Dressage Championship (as from 13 th Aug 2012) Page 18 of 18