BRIGHTLING POLO CLUB MEMBERSHIP FORM 2008

IF YOU PREFER TO JOIN OFF-LINE, DOWNLOAD BOTH THESE FORMS :   

Fields marked (*) are required.

* I wish to join Brightling Polo Club in the following capacity

(Please tick as appropriate)

     £1000 - FULL MEMBERSHIP (INCLUDING INSTRUCTIONAL CHUKKA)

     £400 - PROFESSIONAL MEMBERSHIP

     £295 - STUDENT MEMBERSHIP

     £100  - HPA, UK Resident

     £180 - HPA, Overseas Resident

     £35   - HPA, Under 18 on the 01.01.08

£ Total to Pay

*   ALL THE HORSES THAT I OWN HAVE OR ARE RESPONSIBLE FOR
           HAVE A CURRENT EQUINE PASSPORT THAT MEETS THE STANDARDS
           LAID OUT BY DEFRA.

*   I UNDERTAKE TO ABIDE BY THE RULES, REGULATIONS, ORDERS AND
           DIRECTIVES OF BRIGHTLING POLO CLUB AS LAID DOWN IN THE RULES
          OF THE CLUB AND OF THE HPA AS LAID DOWN IN THE BLUE BOOK.

* Size of chukka shirts required :

Unisex Style 
S    M    L    XL

OR

Fitted Ladies Style
S    M     L

* Name:      

* Date of Birth   

* Full Address : (including postcode)

* Telephone (Home)    
* Telephone (Work)    
* Telephone (Mobile)  
* Email: