SICAB 2016 INTERNATIONAL PUREBRED SPANISH TRADE FAIR November 15 - 20, 2016

UNIVERSAL ENTRY FORM CATEGORY CONFORMATION (C) (D) (DV) EXHIBITION (S) ALTA ESCUELA (AE) EXHIBITION COMPETITION (EC) (Single) CARRIAGE DRIVING (Pair) CARRIAGE DRIVING (Team/4-in-hand) IF YOU ARE PARTICIPATING IN MORE THAN ONE CATEGORY OR EXHIBITION PLEASE INDICATE

NAME OF STUD FARM: BREEDER/OWNER CODE: REPRESENTATIVE: ID Tax Nº: Indicate name of rider/driver-groom for ANCCE RIDER/S: LDN Cups and functionality. ADDRESS FOR CORRESPONDENCE: P.C.: TOWN: PROVINCE: COUNTRY:

CONTACT PHONE NUMBER: Land 1 Land 2 Cell:

E-MAIL: Fax: BILLING COMPANY/INDIVIDUAL: Tax Nº: FULL ADDRESS:

Horses competing for Best Breeder or Best Exhibitor must mark the corresponding box (Best Breeder/Owner Award-BB/OA) INDICATE SECTION & IN DC, DV, AE, CATEGORY DRESSAGE LEVEL (4, 5 or 6 year-old

NAME SEX CODE Advanced/Novice plus Licences…) BB/OA

YEARBIRTH OF C EXH D DV S AE ED E Sec. OBSERVATIONS X PRE STALLION OR MARE M/F 2008 19010100222325 X X 8 4 year olds / Exhibition

The fact that you fill out this form for any category participating in SICAB, means you accept all rules and regulations established by ANCCE

ENTRY FEE (plus 21% VAT) MEM ASS. MEM NO MEM. 21% VAT MUST BE ADDED TO ALL FEES

CONFORMATION* 125/110* €180 €300 BANK TRANSFERS TO CAJA RURAL DEL SUR Clearly indicate Stud Farm Name & Breeder/Owner Code on the payment IBAN: ES22 3187 0812 8010 9498 7227 CONFORMATION*** (past deadline) €400 €400 €400 receipt. BIC: BCOEESMM187 EXHIBITION €150 €200 €400 TACK ROOM-STABLE €200 €300 €300 Farm Code: ES410910000137 TACK ROOM-SHED €400 €500 €500 DRESSAGE €120 €150 €150 RESQUEST MARE IN A PEN **** SHOW JUMPING/VAQUERA/ALTA ESC. €120 I REQUEST A TACK ROOM-STABLE CARRIAGE DRIVING Single €150 I REQUEST A TACK ROOM-SHED

Pair €200 Nº OF PEOPLE ACCOMPANYING THE HORSE/S: (2 people have been calculated for 1 to 3 and accordingly increase by Team (4-in-hand) €250 1 person) EXHIBITION COMPETITION** 120/110** EMERGENCY PHONE:

* The first 2 horses at €125 each; each one thereafter €110 (______/______/2016) ** The first 2 horses at €120 each; each one thereafter €110 (for each exhibition) *** After the deadline, from November 1-4 (based on availability) SIGNATURE **** Mares will be asigned pens based on first come, first serve, until all spaces are occupied

Fax to ANCCE: +34 954690327 or e-mail: [email protected] THE DEADLINE FOR ENTRIES IS OCTOBER 31, 2016 AT 2:00 IN THE AFTERNOON All personal information supplied on this form will be included in a file called PARTICIPANTES SICAB (SICAB Participants), owned by the National PRE Breeders' Association of Spain, ANCCE, with tax registration nº G-41071960, which, in accordance with all legal mandates as established by Law 15/1999 regarding the protection of Personal Data, has been registered with the General Data Protection Register, to be able to handle our relationships with the participants of the International PRE Equestrian Trade Fair. You therefore authorize the publishing of your data in the Official Competition Catalog. You may exercise your right to access, change, cancel and oppose this data, free of charge, by contacting ANCCE at the following address, Cortijo de Cuarto (Viejo)-41014 Sevilla (Spain) , indicating "LOPD" on your note.