PLEASE PRINT & RETURN TO : Membership Sec. EFRA, 40 Coopers Lane, London E10 5DG

EPPING FOREST RIDERS ASSOCIATION

I wish to join EFRA as an Individual/Family/Trade Member (please delete as appropriate)
I enclose a cheque/postal order/standing order. PLEASE DO NOT SEND CASH THROUGH THE POST.
I understand that the subscription is renewable in January each year.

Name ........................................................................................................................................ & other family members/two trade

Name ........................................................................................................................................

Name ........................................................................................................................................

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

.....................................................................................................................................

Postcode ...............................

D.O.B. if under 18 .......................

Tel No ................................................................

Mobile No.............................................................

Yard Name ...........................................................

E-mail .................................................................

Horse's Name .......................................................

Signed................................................................

Print Name ..........................................................

Name of account..................................................

Continued 1/2

Name of Bank/Building Society and Address ..................................................................

Postcode ..............................

ACCOUNT No ............................. Sort Code .................    Date.............

Send to: Membership Sec :- EFRA, 40 Coopers Lane, London E10 5DG
If paying by Standing Order, ensure that all details are completed, especially the date you want the payment to be made.
STANDING ORDER Pay to: EPPING FOREST RIDERS ASSOCIATION Account No. 17903157 Sort Code: 60-24-24 National Westminster Bank, P.O. 10434, 110 George Lane, London E18 1SR

The sum of £7.50/£12/£20 immediately and then annually each year on the ................... of January until cancelled by me in writing, quoting reference: MEM (leave blank).....................................

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