Name: Cheque made payable to MSSH to be sent with completed Address: form to The Secretary: Louise Glebe House, Osmaston, Ashbourne, DE6 1LW Post Code: Date of Birth: (if 30 or under) BACS payment to account "MSSH General Account", account Tel No: Mobile No number 85558311, (for text messaging): Email: sort code 60-12-01 - please include your name and reference Countryside Membership No. (if over 18 years old): "2016/17 subs” and a completed form either posted to The Secretary, Louise as above or email to: Membership Subscription: (circle as appropriate) Subscriber: 5-day/10-day/15-day/Full for those applying by e-mail a signed application is required please – Hunting Farmer / 22-30 / £ : Pony Club/ Blue Day / Thursday / Adult Starter Scheme / Pony Club Starter Scheme £ : Subscription for Spouse (Adult Subscription only) over 30 - – Subscription for children £ : Donation to Hunt Staff Benefit Society £ : Donation to Hunt Funds £ : BACS/Cheque Total: £ : I note the Subscription Rules and agree to abide by them. I also accept that all Hunting Activities are at my Own Risk and no liability can be claimed against The Hunt Signed: Date: Account Address List CA Membership Check Field Tickets Sent Methods of Payment
Name: Address: Post Code: Date of Birth: (if 30 or under) Tel No: Mobile No (for text messaging): Email: Countryside Membership No. (if over 18 years old): Membership Subscription: (circle as appropriate) Subscriber: 5-day/10-day/15-day/Full Hunting Farmer / 22-30 / Pony Club/ Blue Day / Thursday / Adult Starter Scheme / Pony Club Starter Scheme £ : Subscription for Spouse (Adult – over 30 - Subscription only) £ : Subscription for children £ : Donation to Hunt Staff Benefit Society £ : Donation to Hunt Funds £ : BACS/Cheque Total: £ : I note the Subscription Rules and agree to abide by them. I also accept that all Hunting Activities are at my Own Risk and no liability can be claimed against The Hunt Signed: Date: Account Address List CA Membership Check Field Tickets Sent Methods of Payment Cheque made payable to MSSH to be sent with completed form to The Secretary: Louise Glebe House, Osmaston, Ashbourne, DE6 1LW BACS payment to account "MSSH General Account", account number 85558311, sort code 60-12-01 - please include your name and reference "2016/17 subs” and a completed form either posted to The Secretary, Louise as above or email to: – for those applying by e-mail a signed application is required please
MSSH-Subscription-Rates-2016-17.docx