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Full Name*

ASEA Member

Yes

No

ASEA Member Number

Address*

Horse 1 / Handler Name*

ASEA Registered?

Yes

No

Horse ASEA Rego Number

Non ASEA Rego Papers File upload

Class numbers 1*

Total Number Class Entries

Horse 2 /Handler

ASEA Registered?

Yes

No

Horse ASEA Rego Number

Non ASEA Rego Papers File upload

Class numbers 2

Total Number Class Entries

Horse 3/ Handler

ASEA Registered?

Yes

No

Horse ASEA Rego Number

Non ASEA Rego Papers File Upload

Class numbers 3

Total Number Class Entries

Horse 4/ Handler

ASEA Registered?

Yes

No

Horse ASEA Rego Number

Non ASEA Rego Papers File Upload

Class numbers 4

Total Number Class Entries

After Submitting Form please click here to purchase Entries (Tickets)

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