IMHC STALLION BREED DONATION 2012

							              IMHC STALLION BREED DONATION--NOMINATION FORM
                POSTMARKED ON OR BEFORE DECEMBER 28th, 2012

Stallion Owner’s Name(s):

Address:

Phone:                               Email:

Website:

Stallion’s Registered Name(s)

AMHA Reg. #:               AMHR Reg. #:                Other Reg. #:

                                                  (Please Specify Other Registry)
Stallions D.O.B.:          Height:            Color:

Sire:

Dam:

Mare Care Rate Per Day:              /dry,       /wet (with foal by side)

           (Please put “NO” by wet if stallion will not service mares with foal by side)
Stallion’s Description: (Approximately 200 Words)




Is this Stallion under Lease?          What type of Lease and Duration?

I, the above named stallion owner, believe that the information I have provided is true and correct. I
  have all the authority under any law, registry or association to donate a breeding of this animal. I
 have fully read and understand the Rules of the Intermountain Miniature Horse Club Stallion Breed
                Auction and Futurity and shall abide by those set rules and agreement.

             Stallion Owner Signature ___________________________________________

 Forms need to be typed or printed and mailed (or) emailed. Please include form, 4x6 photo
                              and Three Generation Pedigree.

                                                IMHC
                                        c/o Katherine Wilson
                                             P.O. Box 385
                                       Santaquin, Utah 84655
                                     mini.horse.chick@gmail.com
                                       (801) 754-1751 Home
                                         (801) 360-7959 Cell