ALL MEMBERSHIPS INCLUDE PERSONAL ACCIDENT INSURANCE
Main Event

SOUTHERN CAMPDRAFTING ASSOCIATION
Text Box: Horse Owner Transfer

Phone: 02 63866204

Fax: As above.

E-mail: mazza@dragnet.com.au

PREVIOUS OWNER:_________________________

 

HORSE DETAILS:DOB__________________________

 

GELD       MARE    STALLION   (please circle)

 

REGISTERED NAME OF HORSE_________________________________

 

COLOUR_______________________________

 

HORSE COMPETITION NAME:______________________________

ASHS NO:__________________(Only applicable if horse is breed registered).

AQHA NO:_________________(Only applicable if horse is breed registered)

 

HORSE STATUS:   MAIDEN    NOVICE   OPEN     (please circle one)

 

  In the boxes below please insert the number of Campdrafts won to Date.

 

MAIDEN                               NOVICE                               OPEN             

 

LADIES                                 ENCOUR;

 

NEW OWNER’S FULL NAME

FOR REGISTRATION:___________________________________

MEMBERSHIP NO;_________will be completed by Secretary

ADDRESS:____________________________________________________

_____________________________________________________________

Post Code:____________________

TELEPHONE NO:___________________________________________

 

SIGNATURE:_____________________________________________                          

DATE:____________________________________________________

(PHOTO COPIES OF THIS FORM WILL BE ACCEPTED)
Text Box: PLEASE NOTE: For horses to gain Championship points They must be Registered with the Southern Campdraft Association. (all horses not just Breed Registered) Please complete one form for each horse.

RETURN TO:

The Secretary,

Southern Campdrafting Assoc. Ltd.,

P.O. Box 266,

Cootamundra NSW 2590.