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ENTRY FORM PAYMENT SCHEDULE NOMINATION FEE (You are nominating a mare in foal) $10.00 JANUARY 2ND SUSTAINING FEE ………………………………...................$25.00 JULY 1ST ORIGINAL PAPERS & A COPY MUST BE PRESENTED AT FUTURITY OFFICE TO THE SECRETARY.
ENTRY NAME __________________________________________________________________ DATE FOALED _____________________________ SEX: Circle one: Stallion . . Mare . . Gelding SIRE & NUMBER ________________________________________________________________ DAM & NUMBER _______________________________________________________________ OWNERS NAME ________________________________________________________________ ADDRESS ______________________________________________________________________ _______________________________________________________________________________ PHONE NUMBER _______________________________________________________________ S/S NUMBER ___________________________________________________________________ SIGNATURE ____________________________________________________________________ MAIL TO : |