ONLINE ENTRY FORM

Fiedlings E. C. cannot accept online credit card payments. Please fill-in the form online, print the completed form and send it along with a cheque to the following address:

FIELDINGS EQUESTRIAN CENTRE
HENS NEST ROAD
EAST WHITBURN
WEST LOTHIAN
EH47 8AB

Rider's full Name:
Age (if under 16)
Address 1:
Address 2:
Town:
Postcode:
Tel:
Name of horse:
Breed:
Height:
Class(es) to enter: fill-in as appropriate		Entry fee:
Total entry enclosed:
Please make cheques payable to 'Fieldings Equestrian Centre' N.B. Competitors should telephone Fieldings on the night before a competition to confirm the class times. Tel: 01501 745 986 between 7 and 9 pm.