TREGARON TROTTING CLUB LTD

Application for Raceday Membership Tregaron Trotting Club 2010

Separate application form per member

Name:

Address:

Post Code:

Tel No:

E Mail:

Cost of Membership £70 per annum

Concession for BHRC Licence Holders and Members of Clwb Cardigan Bay £60 per annum

BHRC Licence No: Member Clwb Cardigan Bay YES / NO

Return application form and Payment to:

Ray Jenkins, Brenig Insurance, Station Rd, Tregaron, Ceredigion SY25 6HU 01974298099