Applicant Name

First Name

Last Name

Show Role

ie: Manager, Secretary, etc

Show Name & Facility Name

Show Manager /Secretary Email Address

Name for Rebate Cheque

Who should cheque be made out to

Mailing Address

(Where Cheque should be mailed)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Show Date

YYYY

Show Type

Please Email a copy of your show license to dressagebc@gmail.com

Yes I Have

Thank you for your submission!

Pleases remember to send a copy of your license to dressagebc@gmail.com.

DBC Show Fund Form