MSSH Subscribe Online 2017/18 Season
If the form is completed successfully, you will see "Your response has been recorded". If this does not show, please check that you have completed all the 'required' fields that have an asterisk.
House Name or Number *
Your answer
Name *
Your answer
Address Line 1 *
Your answer
Address Line 2
Your answer
Town/City *
Your answer
County *
Your answer
Postcode *
Your answer
Date of Birth
(if 30 and under)
MM
/
DD
/
YYYY
Telephone Number *
Your answer
Mobile Number
Your answer
Email address
Your answer
Countryside Alliance Membership No.
(if over 18 years old)
Your answer
Membership Subscription
Please refer to the Subscription Rates document above (or downloadable below) for full details
5 Day Sub
10 Day Sub
15 Day Sub
Full Sub
Adults (over 30)
Spouse (15% discount)
Age 22-30
Farmers (bona fide & resident in country)
21 & under / Pony Club
10 & under
** Blue Days Subscription
Thursday Subscription (inc. Blue days)
Adult Starter Scheme
21 & under Starter Scheme
Non riding membership
Donation to Hunt Servants Benefit Society
Your answer
Donation to Hunt Funds
Your answer
TOTAL AMOUNT TO BE PAID *
Sum of costs shown above - please add together and type in the total amount due.
Your answer
Method of payment *
Cheque made payable to MSSH to be sent with completed form to: the Secretary, Louise Moore, 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 "2017/18 subs” and post a completed form to the Secretary, Louise Moore, as above or email: louise.moore@mssh.co.uk - for those applying by email a signed application is required please
Data privacy *
We ask your permission to write and let you know from time to time of all the different ways you could help, for example buying Christmas cards, coming to events we organise, supporting us financially and many others
Declaration *
I note the subscription rules on the Subscription Rates document and agree to abide by them. If not please give explanation in 'other' box.
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