BHDTA

BHDTA MEMBERSHIP
SUBSCRIPTION RENEWAL

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

You should only use this form only if you are intending to pay
by BACS direct bank transfer.

Using this method of payment saves the BHDTA (and you) money because we do not have to pay credit card transaction charges. You will be given instructions on how to set up a BACS payment once you have filled-in the form. A BACS transfer is a one-off payment, not a direct debit or standing order.

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. This is where your confirmation will be sent.

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:

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.

PAYMENT

Please set up a BACS transfer through your bank’s on-line banking, or by visiting your local branch, for the total amount of your subscription charges.

You will require the following details:

Bank:	Barclays Bank
Recipient:	The British Horse Driving Trials Association
Sort code:	20-48-08
Account No.	70 322 989
Reference:	Give your name and membership no.

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.

I shall set up a BACS payment to the BHDTA for the total amount of my membership charges.

Click button once and wait for confirmation.
You will also receive an automatic confirmation email to the address you have given above.