BURPENGARY QUARTER HORSE SHOWS AA SHOW, AMQHA AND STATE SHOW STABLE & CAMPING FORMS STABLING AND CAMPING FORMS MUST BE RECEIVED BY 30th MAY 2014 Stable & Camping available from Sunday 22nd June 2014 to Monday 30th June, 2014 NB: All charges are PER DAY Please be accurate when booking the number of DAYS for Camping and Stables – no refunds will be given after the 6th June 2014. OWNERS NAME: ____________________________________ Phone Number: _____________________ STABLES - $22 per day (includes bedding) Deposit of $50 per stable (refundable if cleaned out totally) NUMBER OF STABLES REQUIRED …………….. NUMBER OF DAYS REQUIRED ………………. Arrival Date: …………………….. Estimated time of arrival: ……………… Departure Date: ……………………… I wish to be stabled with: …………………………………………………………………………………………………. PLEASE NOTE THIS MOBILE NUMBER – STABLE MANAGER – NICOLE BROOM - MOBILE: 0438 182169 CAMPING - $20 per day Powered site Please indicate: or $15 per day Unpowered site Powered Unpowered Arrival Date: …………………….. Estimated time of arrival: ……………… Departure Date: ……………………… I wish to be camped with: …………………………………………………………………………………………………. NUMBER OF DAYS …….. Type of Camping unit & overall length: ………………………………………………………………. (e.g. total length of towing vehicle and gooseneck/float/caravan) NUMBER TOTAL COST STABLES $22 per day $ STABLING DEPOSIT CLEANING BOND - $50 per stable Refundable if stable is left totally clean, swept $ CAMPING Powered site $20 per day Power leads must be tested and tagged prior to arriving on grounds, $ Unpowered site $15 per day $ CAMPING $ TOTAL $ Please make all cheques/money orders payable to BWPC OR direct deposit: BOQ Bank, Name: BWPC, BSB: 124041 A/C 22038480 OR complete Credit Card form below and post forms to: BWPC, PO Box 1330, Burpengary 4505 Send all stabling to: QLD STATE SHOW, BWPC Inc, P O Box 1330, Burpengary, Qld. 4505 CREDIT CARD PAYMENT AUTHORITY Credit Card No: ……….…./……….…/……….…./…….……. Expiry Date: …………./…………. Name of Card Holder: ……………………………………………………… Amount to be charged to the card above: …………………………….. I hereby authorize the AQHA to deduct the above amount from my credit card. Signature: ………………………………………………………
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