Prize Money and Rosette Claim Form
Rosettes are sent to 10th place
Rider Name
*
First Name
Last Name
E-mail
*
example@example.com
Address
*
City
Town
Road
Post Code
Sort Code
Account no
*
Sort Code
*
Name on Account
*
Name
Horse details
*
Section
Horse Number
Place
More?
Yes
Horse details
*
Section
Horse Number
Place
Back
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Please Note:
* Prize money payments are made in sterling only * The recipient of any prize money payment is responsible for all tax due on the payment * Signing below agrees to the above terms
Signature
Send Request
Should be Empty: