NOMINATION FORM TO BARROWBY CONNEMARA STALLION 2024
COMPLETE ALL SECTIONS.
Stallion and Stud fee
*
Please Select
KILLOUR STAR £450.00
KILLASPIC ROSS £450.00
KIPPURE LANCELOT (Connemara Mare) £450.00
KIPPURE LANCELOT (non-Connemara Mare) £550.00
INNELLAN CONDOR (Frozen) £250.00
Service
*
Please Select
Shipped Chilled Semen + £50 p&p
Fresh Semen collected in person + £20
Visiting Mare
Shipped Frozen enquire for cost
Name of owner as it is to be printed on service certificate
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Invoice name and address if different to owner
Passport Name of Mare
*
Breed of Mare
*
Age of Mare
*
UELN or Studbook no.
*
Sire
Dam
Dam Sire
Approximate date semen required
-
Month
-
Day
Year
Date
SHIPPED SEMEN
STUD REQUIRES NOTICE AT MINIMUM BY 11AM ON THE DAY THE SHIPMENT IS REQUIRED
NAME AND ADDRESS OF VET/AI TECHNICIAN WHO WILL BE INSEMINATING THE MARE
ADDRESS OF WHERE THE SEMEN IS TO BE SENT IF DIFFERENT TO ABOVE
VISITING MARES
SERVICES
GRASS LIVERY
STABLED LIVERY
BARREN MARE (SINGLE)
IN FOAL MARE
FOAL AT FOOT
IS YOUR MARE SWABBED FOR CEM?
YES
NO
IF YES WHAT DATE IS ON HER CERTIFICATE
-
Month
-
Day
Year
Date
Nomination T&C's
Signature
*
BANK DETAILS
BANK DETAILS: BARROWBY CONNEMARAS, HSBC, SORTCODE: 40-27-15, ACC.NO: 65153581, REFERENCE: MARE NAME OR INVOICE NUMBER
FOR VISITING MARES PLEASE ALSO COMPLETE A LIVERY BOOKING FORM
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