Keysoe International
Phone : +44(0)1234 708400 | Email: info@keysoe.com

Prize Money Submission Form

If you have won an event or competition at Keysoe International that involves a cash prize, please complete the following form.
Please note, these are manually checked and cross-referenced against previous winnings, so please allow a few days for your form to be processed.
You will receive an email from the office confirming once complete.

    Event Details:

    Event

    Class/Section

    Rider Name

    Placing


     

    Bank Details:

    Full Name

    Bank Name (e.g. Halifax)

    Bank Account Number


     

    I, the undersigned, confirm and agree that this form is correct and that I am over 18 years of age.
    Signed: