Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Work/Other Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Occupation

(Please indicate if you would be willing to help the club should it need your expertise.)

Membership Start

When would you like your membership to start?

Now From 1st January, 2018 1st October 2019 - Discount

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost
	Adult Riding Member 17 years and over Only available to people aged 17 or over.	£45.00
	Riding Junior Member 8 - 16 years Only available to people between the ages of 8 and 16 inclusive.	£35.00
	Non-Riding Member Only available to people aged 17 or over.	£5.00
	Temporary Member Temporary membership gives access to entering rides online as well as making payment by PayPal, credit or debit card. Note temporary member entry fees are greater than those of full members Only available to people aged 8 or over.	£0.00

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://serc.myclubhouse.co.uk/Home/TermsAndConditions) and the Privacy Policy (https://serc.myclubhouse.co.uk/PrivacyPolicy;).

Signature

Date

Please return completed forms to: Scottish Endurance Riding Club, 9 Elliot Road, Jedburgh, TD8 6HN

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the club officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

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