Registration
for Horse Loan

Registered Charity :1029341
(Submission of this form enters your name on our 'Horse Loan Register'. Every endeavour will be made to find a suitable horse or pony however we are unable to guarentee that an appropriate animal will be found.)      Name ..............................................
     Address ................................................................................................
                   ................................................................................................
                   ................................................................................................
                   ................................................................................................
     Postcode..........................
     Tel:No. Day (..............)-......................
     Tel:No. Eve (..............)-......................
     Type of Horse required
     ............................................................................................................................................
     ............................................................................................................................................
     ............................................................................................................................................
     What Experience do you have?
     ............................................................................................................................................
     ............................................................................................................................................
     ............................................................................................................................................
     Type of Home Offered
     ............................................................................................................................................
     ............................................................................................................................................
     ............................................................................................................................................
     Height & weight of rider (if ridable)
     ............................................................................................................................................
Registration Fee £10. enclosed       YES   /   NO
Signed..................................                                                    Date.......................

You must ring us when we have the form.

Also ring us if your circumstances change

 For £2 extra (£12) you can join the "Freinds of brownbread Horse rescue" and receive Newsletters through out the year. You can also pay by STANDING ORDER MANDATE as a yearly sub by completing the details below:

Please pay the sum of £12.00 to Brownbread Horse Rescue, Account No. 11075993 with HSBC Bank, Battle, East Sussex, TN330AQ. Sort Code 40-09-27 on the first day of
(month)...................... each year until further notice, debiting my account Number .......................... Sort Code .....................
Bank address ....................................................................................................................................................
          Signed..........................           Date......................



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