The 42nd Victorian Arabian Horse Classic at Geelong ... - Home

Victorian Arabian Classic Entry FormSaturday & Sunday, 12 th & 13 th January , 2013 at Geelong ShowgroundsName of Exhibitor: ………………………..……………………..……………………………VAHA Membership No ...……………….……….Postal Address:…………………………..……………………………………………….…………….…………..…..…Post Code..……...…..…Telephone: ………………………..….…….. Mobile: ……………….…………...… E-Mail: ……………...……………………………..…......The above named exhibits are registered with AHSA Ltd and are entered in compliance with all Conditions of Entry andI hereby certify the correctness of each Exhibit’s particulars. I also note that I will not be recompensed for exhibitsentered that are not shown or do not comply, what ever the reason and that I will not seek a refund.AHSA Membership No ……………………………………..Signed: …………………………………………… Dated ….…./………. 2012Name of Exhibitor to appear in the Catalogue:………..…………………..……………………………………….Credit facilities arenot available.Direct deposit can bemade and a receipt ofpayment MUST beattached with entries.Bank of QueenslandBSB 124001Account No 20996097Please make chequespayable to VAHA. Inc.Post entry formstogether withpayment anda copy ofRegistration Papers to :Total of EntriesInsurance (if applicable) $Catalogue & Admin fee COMPUSORY $25.00Back Number @ $3.00 per horse $Total of class entries( from class entry page)Sponsorship $VAHA Membership $BBQ Dinner @ $5.00 per personPlease indicate number (includingchildren) No ……………….$$Katherine McMahonPO Box 178,Yarragon. 3823Entries closeWednesday12 th December 2012.Facility Fee$5.00 per day / per horseStables at $15 per dayNo of stables required (………….)Cleaning out fee (if required)@ $50 per stable$$TOTAL ENTRY FEE $