GRASA
2017 Membership/Renewal
Name……………………………….......
Address………………………………....
………………………………................
………………………………................
Postcode…………….Phone
No……….
E mail…please tick to receive
newsletter by e mail ( )
………………………………..................
ACU Affiliation No……………………..
Supporter /Official £8.…………………..
Husband/Wife (supporter)£12.………….
Rider £20.………………..........
Family(with rider) £25.………………..
Family membership us for all NON riding children
Youth £7.50 must have adult as
full member………..
Please return completed form with correct
fee and SAE to:-
Mrs. D Wain
104 Purbrook Way,
Leigh Park,
Havant.
HANTS
PO9 3SB
Tel: 02392-644061