Nomination Form GOLD BUCKLE Reining Futurity

GOLD BUCKLE NOMINATION

Complete the form below to sign up for our GOLD BUCKLE PROGRAM
Name of Horse*
YEAR OF FUTURITY*
SEX OF HORSE*

StallionMareGelding
Foal Date*

DayMonthYear
Date
Breed Certificate OR Veterinary Proof of AGE + 4 PHOTOS (off side, near side front & back)*

Cancelof
SIRE*
DAM*
COLOUR/MARKINGS*
REINING AUSTRALIA COMPETITION LICENCE NUMBER - if licensed
BREED ASSOCIATION
BREED REGISTRATION NUMBER
Person Nominating Horse for Gold Buckle program*

First NameLast Name
Contact Phone Number*
E-mail*
Address: (Residential)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Address: (Postal)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please choose your futurity by marking the age of your horse. (all prices incl GST)*

Yearling as @ the 31st December $220Yearling as @ 31st December (part of 5-9 nominations at one time) $165 eachYearling as @ 31st December (part of 10+ nominations at one time) $110 each2 Year Old as @ the 31st December $4403 Year Old as @ the 31st December $6604 Year Old as @ the 31st December $8804 Year Old from 1st January year of the Futurity $1650
Conditions of the Gold Buckle Program

1. All Gold Buckle nominations are non refundable, no exception.

2. You will be sent an invoice with payment details , please wait for your invoice so your payment can be allocated correctly. This will insure your horse will be a Gold Buckle nominee.

3. To gain full entry to your nominated horse's futurity year all payments must be confirmed as fully paid prior to the 31st December cut off, other wise there is a definate price variation as this will fall into the next age bracket and you will be sent an amended invoice for payment.

4. A Gold Buckle Certificate is your proof of nomination, once all documentation including payment has been confirmed, your certificate will be mailed to the nominated postal address above. Please keep this in a safe place.
by ticking the box below you are signing and accepting fully this nomination*

I have read, understood, and accepted the conditions for the Gold Buckle Nomination.
Should be Empty:

GOLD BUCKLE NOMINATION