BHDTA

BHDTA
MEMBERSHIP
ON-LINE SUBSCRIPTION

BHDTA Membership rates 2012
Full - National competitor	£ 148
Associate - Regional / Club competitor	£ 59
Young Driver (10 to 21 years)	£ 58
Marathon Groom (annual)	£ 32
Marathon Groom (single event)	£ 16
Supporter	£ 30
Combined - Full and Associate	£ 191
Combined - Associate Couple	£ 105

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Please complete the form below. All boxes marked * must be filled in.

FIRST MEMBER
Title		(e.g. Mr, Mrs, Ms, Dr, Rev etc.)
First Name		*
Surname		*
Full postal address		* Please remember to give your full postal address
Postcode		*
Daytime phone		Your work phone number, if you have one
Home phone		Your home land-line number
Mobile phone		Your mobile
Email address		* Please make sure you type your email address correctly

Membership category		*
Date of birth		Please give date of birth only if you are subscribing as a Young Member (under 21)
Single event	If you're subscribing as "Single event Groom", which event will you compete at ?

SECOND MEMBER Complete this section only if you are applying for membership for a second person. In joint membership categories (combined full+associate, or associate couple) the Yearbook and newsletters will be posted only to the first member's address.
Title		(e.g. Mr, Mrs, Ms, Dr, Rev etc.)
First Name
Surname
Postal address
Postcode
Daytime phone		Your work phone number, if you have one
Home phone		Your home land-line number
Mobile phone		Your mobile
Email

Membership category
Date of birth		Please give date of birth only if you are subscribing as a Young Member (under 21)
Single event		If you're subscribing as "Single event Groom", which event will you compete at ?

THIRD MEMBER Complete this section only if you are applying for membership for a third person.
Title		(e.g. Mr, Mrs, Ms, Dr, Rev etc.)
First Name
Surname
Postal address
Postcode
Daytime phone		Your work phone number, if you have one
Home phone		Your home land-line number
Mobile phone		Your mobile
Email

Membership category
Date of birth		Please give date of birth only if you are subscribing as a Young Member (under 21)
Single event		If you're subscribing as "Single event Groom", which event will you compete at ?

INFORMATION
Which BHDTA Area of the country are you based in ?


If you have any notes or comments, please state below:

DECLARATION I hereby certify that I am, or am applying to be, a member of British Horse Driving Trials Association and declare that the details entered on this form are correct to the best of my knowledge. I agree to abide by the Memorandum and Articles of Association and the competition rules contained in the Official BHDTA Rule Book.
Equine Anti-doping and Controlled Medication Rules (Mandatory - your application will not be processed if this is not completed) I agree to be bound by the BEF Equine Anti-doping and Controlled Medication Rules and the BEF Anti Doping Rules for Human Athletes as amended from time to time, copies of which can be found on the British Equestrian Federation Website at www.bef.co.uk and will be supplied to me in paper format on request. In the event that the person applying for membership is under 18 years of age, the parent or legal guardian signing on behalf of that person specifically agrees to accept primary responsibility for that person's compliance with the BEF Equine Anti-doping and Controlled Medication Rules and that parent or guardian will will be the Person Responsible for any horse ridden, vaulted or driven by that person for the purposes of those rules.
Please type the word AGREE in the box to confirm that ALL applicants agree with the above statement.

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