Equi-Trek Application Form

To apply for your 1 year’s free Equine Rescue Services membership for your new Equi-Trek horse trailer or horsebox, please complete the application form below, if you have not already done so. Cover will commence when you have received your membership number and pack.

On expiry of the 1 year’s free membership you will be offered continuation/renewal of the service at the applicable rate.

This offer is subject to our standard terms and conditions which may be viewed on the T & C section of the following pages: here for Equine Trailer Assist or here for Equine & Tyre Support

Your Details

Name*

Address Line 1*

Address Line 2

Postal Town/City*

County

Postcode*

Daytime Tel No*

Evening Tel No

Mobile Tel No

Email address*

Horsebox / Horse Trailer Details

Make & Model*

Colour

Gross Weight

Tyre Sizes

Registration No*

Please enter the registration number of your horsebox, or the towing vehicle registration number(s) if you have a horse trailer.

Chassis No

Please enter the chassis number of your horsebox or horse trailer.

Date of First Registration*

i.e.DD/MM/YYYY
Please enter the date that your horsebox was first registered, or the date when you bought your horse trailer, as applicable.

Towing Vehicle Breakdown Org*

Please enter the organisation which provides breakdown cover for your towing vehicle (e.g. AA, RAC, Green Flag, CSMA, etc).

Where stored

Please state where your horsebox or trailer is usually kept (if this is different from your home address).

Declaration
I understand that Equine Trailer and Horsebox Assistance is provided by Equine Rescue Services Ltd in addition to and in support of the manufacturer's warranty and will not affect the warranty conditions. I understand that the above service is provided Free of Charge for a period of 12 months from the date the vehicle is registered. Failure to register promptly may affect my ability to access the service. I understand that at the end of the first year of membership I will be contacted by Equine Rescue Services Ltd and be invited to extend the service at the applicable rate.
I agree

I confirm that I am 18 years of age or over. Tick to confirm.

Please confirm that you give permission to Equine Rescue Services Ltd. to store and process the personal data you have just provided, for the purposes of membership and breakdown and recovery services. Tick box to confirm