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AERA Online Pre-nomination Form

All AERA rides require Pre-nomination by Monday 6th June 2011.

Full payment for the 80km and 160km rides is also required by the 6th June.

20km and 40km rides may be paid for at the event, but must be Pre-nominated.

Please complete each form for every horse and rider combination.

All fields are mandatory.

Please remember to include the additional camping fees of $15.00 per Horse per night.

No camping fee is applicable for those who are competing in the 20k & 40k rides and do not camp overnight.

International riders please note:

A letter of no objection must accompany your entry.

Payments may be received by direct deposit:

Oz Endurance (Q) Inc

Bank of Queensland

BSB. 124 192

Acct. No. 2027 4023

(Please give clear reference for payment identification)

Payments may also be received by cheque with completed form to:

Oz Endurance (Q) Inc

c/o PO Box 56

Marburg, Queensland, Australia, 4346

Rider Name
VOLUNTEERS ARE REQUIRED
AERA Riding Division - NOT applicable for 20km or 40km entrants
Ride Entry for:
Horse Name
Horse Sex
PAYMENT DETAILS
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Thank you! Your AERA Pre-nomination has been submitted successfully.
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