ASH Nomination Form Australian Polocrosse Nationals Ballarat, Victoria
Event Dates: 30 March to 5 April 2020
Event Location: 107 Airport Road, Mitchell Park, Ballarat, Victoria
Event Contact: Bonnie Goss Phone: 0408 936 253 Email: poloxnat2020@gmail.com

*Nominations close 4:00pm - Friday, 13th March 2020*
Australian Stock Horse Award - Nomination Form
To be eligible for the Australian Stock Horse Award, the Registered Owner entered on this form must be a current Financial Member of the Australian Stock Horse Society and the horse must be a Competition Eligible, Registered Australian Stock Horse.

The horse’s Registered Name and Number, the Registered Owner’s Membership Name and the horse’s Competition Status (Eligible or NOT Eligible) can be confirmed on the Society’s Online Stud Book: ashs.com.au – click Online Stud Book

If you are taking a second horse, please nominate and include the word SPARE after the horse's registered name.
Horse Owner Name *
Your answer
Horse Owner ASHS Member Number *
Your answer
Horse's Registered Name *
Your answer
Horse's Registration No *
Your answer
Horse Description (eg; Black Gelding) *
Your answer
Competition (ie: Junior Boys, Senior Men's, Senior Mixed, Intermediate Women, etc) *
Your answer
State *
Rider's Name *
Your answer
Rider's ASHS Member Number (if applicable)
Your answer
Email Address *
Your answer
Contact Phone
Your answer
If you have any queries or require any changes to your nomination, please email: cfinlayson@ashs.com.au or phone on 02 6545 1122
The ASHS is proud to be sponsoring the 2020 Australian Polocrosse Nationals.
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