Brownbread Horse Rescue & disabled riders

(establishes 1972) registered charity 1029341
Ashburnham, Battle, East Sussex, TN33 9NX

Email tony.brownbread@tesco.net Visit www.brownbreadhorserescue.co.uk

Patrons: The Lord Stoddart of Swindon, baroness Masham of Ilton, Dora bryan OBE, Dr David Lewis , Ms Heather Moffatt, The High Sheriff of E Sx Mrs Caroline Mahew & The Pearly Family of St Pancras & ms Jan Golding

Equine Application

for entry/foster with Brownbread Horse rescue
Submission of this completed form enters your name on our 'Equine entry/foster register'. Every endeavour will be made to allocate the equine to a suitable foster home either you retaining ownership or by this charity accepting ownership. Head of Welfare will consider each application as to whether the equine may be signed over to the charity or not. Equines that are acceptedsigned over to the charity will remain the property of the charity for the rest of their lives. Please only call 10 am to 4 pm, Monday to Friday inclusive, otherwise leave a message.

Your details Here

Owners Title First Name Surname

House No Address

County Post Code

Phone Number : Mobile number : Email Address:

Your Horse/Pony details here

Equine name Sex Breed

Height Colour Age

 

Is your equine ridable?

yes no

Details and limitations

Has your horse got any illnesses?

yes no

please list below details

 

 

Has your horse got a disability?

yes no

please list below details

Why are you not selling or keeping your equine?

Give details below

I a tax payer. If you are a tax payerthis charity can claim back Tax from the Inland Revenue; please sign here if you agree that your £15 donation is regarded as 'gift Aid'

Signed ............................................... Date

The equine with tack

(if so please specify what tack)

I have items to donate to the charity for fund-raising.(we may be able to arrange collection)

Either I enclose a donation of £15 which will also enrols me as a member of "friends" of Brownbread Horse Rrescue ( you will receive 3 news letters annually.

And/Or i wish to pay by standing order annually and have completed the form below for you to send to my bank. Please send the DD form back to Brownbread and we will send it on to your bank.

Signed ............................................. Date

------------------------------------------------------------------------------------------------------------------------------

To the manager of my bank at (address)

Please pay the sum of £15. to "Brownbread Horse Rescue", Account no. 11075993, Sort code 40.09.27 at HSBC, 81, High street, Battle, E Sussex. TN33 0AQ on the first day of the month each year until further notice, debiting my account Number sort code

Signed ............................................ Date

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