SPRING-TOUR LUMMEN 2013 ENTRY FORM

Fields with * must be completed !

Name:

Address:

*

Zip:

*

Nat. Federation (country):

*

City:

*

Mobile phone:

*

Fax:

E-mail:

*

ATTENTION : Each rider can enter horses in all the classes (CSI3* - CSI1* - CSIYH)

FIRST WEEK: 10-14 April 2013

 

    

CSI3*(1m30-1m45) Max 6 horses

 

    

I like to enter: horses
CSI1*(1m10-1m30) Max 6 horses
I like to enter: horses

 

    

CSI Young horses (5-6 and 7 years old ) Max 9 horses (3 per age)
I like to enter: horses

SECOND WEEK: 17-21 April 2013

 

    

CSI3*(1m30-1m45) Max 6 horses
I like to enter: horses

 

    

CSI1*(1m10-1m30) Max 6 horses
I like to enter: horses

 

    

CSI Young horses (5-6 and 7 years old ) Max 9 horses (3 per age)
I like to enter: horses

THIRD WEEK: 1-5 May 2013

 

    

CSI2*(1m20-1m45) Max 6 horses
I like to enter: horses

 

    

CSI Young horses (5 and 6 years old ) Max 6 horses (3 per age)
I like to enter: horses

ATTENTION RIDERS!
Off course your definite entries have to be made by your national federation!!

IMPORTANT NOTE: Prepayment

A first part of the entries (200 € per horse per show) must be paid by 25/3/2013 (closing date of entries) -
We need this payment as a confirmation of your boxes.

Bankdetails:

Jumping Lummen vzw

IBAN: BE87 0013 5668 0594

SWIFT/BIC: GEBABEBB

Bank addres:
BNP Paribas Fortis
Gemeenteplein 1
3560 Lummen

Please mention the name of the rider and the date (s) of the show

See you in Lummen !