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September Rundown by RDsHiF

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									                     September Rundown
                 with Nordic Futurity & Derby
            NRHA/SRHA Show with NRHAdk Futurity
                AQHA & APHA Special Event

              23 – 26 September 2011
                    Entry Form
________________________________________________

Horse.............................................................Start #........................

Rider 1(R1) ...................................................................................................

e-mail.....................................................tel#.................................................

Attached Copies of Membership & Licences (Please Tick):
NRHA......     SRHA....... NRHAdk...... . APHA....... AQHA.......

NRHA Horse license#................ SRHA/NRHAdk Horse license#.............

AQHA Reg#.................                                APHA Reg#..................


Rider 2 (R2) ...................................................................................................

e-mail.....................................................Phone#.............................................

Attached Copies (Please Tick)
NRHA......     SRHA....... NRHAdk......                               APHA......            AQHA.......

All Payments to:                                          Steve Clinch
SRHA BG: 5019-9934 or                                     Fulltofta 4079
IBAN: SE2250000000053451023431                            242 94 Hörby, Sweden
                                                          Fax +46 415 15255 Tel +46 415 840355
Latest Entry 2 September 2011                             e mail steve@tphsweden.se
Horse.............................................................Start #........................

NRHA                            Pattern Entry Fee         Prize Money $        Trophy Total R1 Total R2
2100 Nordic Open Futurity          8          800       1000 + 75% Payback Morrison
2400 Nordic Non Pro Futurity       5          800       1000 + 75% Payback Morrison
2100 Nordic Open Derby             9          800       1000 + 75% Payback Morrison
2400 Nordic Non Pro Derby          5          800       1000 + 75% Payback Morrison
1100 Open                          6          800       1000 + 50% Payback Morrison
1200 Int Open                      8          500        500 + 50% Payback      Pewter
1301 Ltd Open                      10         500        500 + 50% Payback      Pewter
1400 Non Pro                       10         800       1000 + 50% Payback Morrison
1500 Int Non Pro                   6          500        500 + 50% Payback      Pewter
1301 Ltd Non Pro                   8          500        500 + 50% Payback      Pewter
1350 Rookie Professional           10         200              Jackpot           Plaque
3300 Youth Rookie                  2          100              Jackpot           Plaque
3100 Youth 13 & under              3          100              Jackpot           Plaque
3200 Youth 14 - 18                 3          100              Jackpot           Plaque
5430 S/H 5 & under                 3          250        100 + 50% Payback       Plaque
5300 Rookie Level 1                4          200              Jackpot           Plaque
5310 Rookie Level 2                7          200        100 + 50% Payback       Plaque
1700 Novice Horse Open L1          1          200              Jackpot           Plaque
1800 Novice Horse Non Pro L1       1          200              Jackpot           Plaque

                                                                  Total NRHA Fees ..................................

SRHA                            Pattern Entry Fee         Prize Money $        Trophy Total R1 Total R2
SRHA Ltd Open Derby                 9          300       250 + 75% Payback      Buckle
SRHA Ltd Non Pro Derby              5          300       250 + 75% Payback      Buckle
SRHA Open 1, Saturday              10          200             Jackpot
SRHA Open 2, Sunday                 8          200             Jackpot          Buckle
SRHA Non Pro 1, Friday              7          200             Jackpot
SRHA Non Pro 2, Monday              6          200             Jackpot          Buckle
SRHA Rookie 1, Friday               8          200             Jackpot
SRHA Rookie 2, Monday               7          200             Jackpot          Buckle
SRHA Youth 1, Saturday              2          100             Jackpot
SRHA Youth 2, Sunday                3          100             Jackpot          Buckle
SRHA Green as Grass 1, Friday       8          200             Jackpot           Prizes
SRHA Green as Grass 2, Sund.        4          200             Jackpot           Prizes
SRHA Any Bit Any Age                4          200             Jackpot           Prizes


                                                                   Total SRHA Fees ..................................
Horse.............................................................Start #........................

SRHA Sire & Dam                  Pattern Entry Fee        Prize Money $        Trophy Total R1 Total R2
SRHA Sire & Dam Open                5          500           Sweepstakes         Plaque
SRHA Sire & Dam Non Pro             6          500           Sweepstakes         Plaque


                                                     Total SRHA Sire & Dam Fees ................................

NRHAdk Futurity                  Pattern Entry Fee        Prize Money $        Trophy Total R1 Total R2
NRHAdk Futurity Go1                 8                        Sweepstakes        NRHA
                                                                                  dk
                                                                                Trophy
NRHAdk Futurity Go 2                5                        Sweepstakes        NRHA
                                                                                  dk
                                                                                Trophy

                                                      Total NRHAdk Futurity Fees .................................

AQHA & APHA                      Pattern Entry Fee        Prize Money $        Trophy Total R1 Total R2
1341 AQHA Junior                    3          250              Prizes           Prizes
1342 AQHA Senior                    6          250              Prizes           Prizes
2340 AQHA Amatuer                  10          250              Prizes           Prizes
4340 AQHA Youth                     3          100              Prizes           Prizes
BRG1 APHA SBP Open                  6          250              Prizes           Prizes
RNG2 APHA Junior                    3          250              Prizes           Prizes
RNG3 APHA Senior                    6          250              Prizes           Prizes
AR1APHA Amateur                    10          250              Prizes           Prizes
YR1 APHA Youth                      3          100              Prizes           Prizes

                                                           Total AQHA/APHA Fees .................................

Payment Summary                                                                                Totals (Sek)
NRHA
SRHA
SRHA Sire & Dam
NRHAdk
AQHA/APHA
Office Charge (Incl. Vet. Fee)                                                                         400
Box (1100)
Camping with Electricity (500)
Camping (200)
Late Entry Fee (300)
TOTAL FEES DUE

								
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