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11
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1
REGISTERED NAME OF NOMINATED MARE
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2
FORM OF PAYMENT
$250 NOMINATION
VENMO: THPRODUCTIONS21
SEND A CHECK - PO BOX 231 ST ONGE, SD 57779
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3
MARE OWNER NAME
First Name
Last Name
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4
AGE & HOW MANY FOALS?
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5
CHECKS WROTE TO?
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6
ADDRESS TO SEND CHECKS
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7
Email
example@example.com
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8
Phone Number
Please enter a valid phone number.
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9
ANY ADDITIONAL INFORMATION YOU WOULD LIKE US TO SHARE ABOUT YOUR MARE?
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10
Signature
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11
PLEASE ATTACH REGISTRATION PAPERS, ANY PHOTOS, AND A 2026 W9 IF POSSIBLE
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