Enrollment Form Click for Instructions on Printing Forms

#113, 37 Athabascan Avenue, Sherwood Park,  Alberta T8A 4H3
TELEPHONE (780) 416-4990  FAX (780) 416-4860
 
formbox22x22close.gif (115 bytes) place20wide.gif (60 bytes) I wish to enroll in the Equestrian Academy Program.
Enclosed is the $53.50 enrollment fee.
formbox22x22close.gif (115 bytes) I wish to enroll in the Equestrian Events Program.
Enclosed is the $53.50 per horse enrollment fee.
formbox22x22close.gif (115 bytes) I wish to enroll in both the Equestrian Academy and Equestrian Events (1 horse) Programs.
Enclosed is the $107.00 enrollment fee for both programs.
formbox22x22close.gif (115 bytes)   I wish to purchase a Fulfillment jacket for $58.85 plus Shipping              
formbox10x10.gif (73 bytes) S   formbox10x10.gif (73 bytes) M    formbox10x10.gif (73 bytes) formbox10x10.gif (73 bytes)   XL  formbox10x10.gif (73 bytes)   2XL   formbox10x10.gif (73 bytes)   3XL   formbox10x10.gif (73 bytes)   4XL            Colour:  Black___  Navy___  Yellow___
formbox22x22close.gif (115 bytes) Personalize my jacket for $8.55 (per horse/rider name) (* Name will appear on left sleeve unless otherwise indicated) ______________________________________________________________________
All Prices Include GST
formbox22x22close.gif (115 bytes)   Certified Cheque or Money Order Enclosed   (personal cheques are no longer accepted)
formbox22x22close.gif (115 bytes) Please charge the amount of $_______________ to my VISA,  MASTERCARD or AMEX
Credit Card # ____________________________________________________
Expiry Date: ____________________________________________________

Signature
____________________________________________________
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