Area Qualifiers          Send with SAE to :- Becky Wright, 17 Sandygate Mill, Kingsteignton, Newton Abbot TQ12 3PD

Name..................................................................... Telephone ..................................................................

Address....................................................................................................................................................

................................................................................email address............................................................

I am - interested in / wish to take part in - the following Area Qualifiers

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Please state if you wish to be in a Team ___ or Individual ___

I am willing to compete at the Championships - YES / NO (please delete)

I enclose a copy of my horse’s flu cert. & passport ____  (please tick)