Stallion Service Application

Basic Information

Your Name *

Your Email *

Syndicate Member?
NoYes

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Syndicate Members Name

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Stallion *
Perfect StingSix PackLazarus NTrixtonTattoo Artist

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Stud Fee: $10,000 USD

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Stud Fee: $7,500 USD

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Stud Fee: $5,000 USD

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Stud Fee: $7,500 USD

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Stud Fee: $10,000 USD

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Stud Fee: $0

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Is this an Embryo Donor? *
YesNo

Owner

Owners Name *

Farm Name

Farm Address *

Phone *

Cell Phone *

Fax

Email

Mare's Pedigree

Name of Mare *

sire *

dam *

Year Foaled *

Tattoo Number *

Mare's race record and earnings:

Mare's Breeding History

Has this mare has ever had a reproductive tract infection, a difficult foaling, breeding problems, or any other health problems? *
NoYes

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Please explain the breeding problems:

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Name of stallion bred-to last season:

If mare is in foal, due date is:

If mare was not bred last year, the reason is:
maidennot bred

If mare is not in foal, the reason is:
barrenabortedresorbed

Semen Transportation:

Please select a method of transportation: *
Local Pick UpSame Day AirOvernight

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Boarding Location

Name of farm or contact person: *

Address of boarding location: *

Phone number of boarding location: *

Acceptance

Stallion Service Application – Terms and Conditions

I hereby apply to breed the above mentioned mare to the above mentioned stallion, based on the information supplied above and subject to the conditions, which I have carefully read and which I agree to be the contract between us if and when the approval is signed.

E-signature *
Please type your name to serve as your e-signature.

Today's Date *