AzPHC Online Stall Reservation Flagstaff

ARIZONA PAINT HORSE CLUB

STALL/TACK ROOM RESERVATIONS FORM

August 18-19, 2018
Coconino County Fairgrounds
Flagstaff, Arizona

Stalls/tack rooms MUST BE PREPAID when reserved. Make checks payable to APHC/STALLS.
Envelope must be postmarked by August 10, 2018
Incomplete or late forms may not be processed. Stalls may not be reserved without payment.
Stalls/Tack rooms will be available at 8:00 am on Friday, August 18, ,2018. If you require an earlier arrival plese let us know
Do not include this form and payment with your entry form. Please complete and Submit online, or Print Form and mail, fax or email as indicated at the bottom of the form.
Stall refunds: 50% for no shows and cancelation made within 24 hours prior to beginning of show.
We will refund stalls with certified veterinary letter of reason for cancellation.

Late fees apply to all stall/tack room reservation s received after August 10, 2018.

A negative Coggins, dated within the previous 12 months must accompany all horses brought onto County property.
A Health Certificate, dated within the previous 30 days must be presented for any horse originating OUTSIDE Arizona.

Person Making Reservation *

First Name Middle Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Email *

Arrival: Month *

Day *

Year *

Time *

Hour

AM/PM *

If Possible Stall With

Please list all owners and horses included in this reservation. (You can enter up to 20 per form.)

1

Owner *

Owner - First Name Last Name

Shavings

2

Owner

Owner - First Name Last Name

Shavings

3

Owner

Owner - First Name Last Name

Shavings

4

Owner

Owner - First Name Last Name

Shavings

5

Owner

Owner - First Name Last Name

Shavings

6

Owner

Owner - First Name Last Name

Shavings

7

Owner

Owner - First Name Last Name

Shavings

8

Owner

Owner - First Name Last Name

Shavings

9

Owner

Owner - First Name Last Name

Shavings

10

Owner

Owner - First Name Last Name

Shavings

11

Owner - First Name Last Name

Shavings

12

Owner - First Name Last Name

Horse’s Name

13

Owner - First Name Last Name

Horse’s Name

14

Owner - First Name Last Name

Horse’s Name

15

Owner - First Name Last Name

Horse’s Name

16

Owner - First Name Last Name

Horse’s Name

17

Owner - First Name Last Name

Horse’s Name

18

Owner - First Name Last Name

Horse’s Name

19

Owner - First Name Last Name

Horse’s Name

20

Owner - First Name Last Name

Horse’s Name

For more than 20 owners/horses, please submit another reservation form, thank you.

Notes or remarks

Calculate the number of horse stalls and tack stalls you will need and determine
how many nights you will stay at the show.

Example: I have 3 horses and need 1 tack stall, so I will need 4 stalls and I will stay 3 nights.
Move down the list to 3 Nights and enter 4 in the # "Stalls/Tack rooms" box to see the
calculated fee in the "Total" box at right.

First night stall includes clean out fees. No bedding is included.

Stalls/Tack rooms - 1 Night

# Stalls

x $48.00 =

Total - 1 Night

Stalls/Tack rooms - 2 Nights

# Stalls

x $86.00 =

Total - 2 Nights

Stalls/Tack rooms - 3 Nights

# Stalls

x $124.00 =

Total - 3 Nights

Stalls/Tack rooms - 4 Nights

# Stalls

x $162.00 =

Total - 4 Nights

One Time Late Fee for reservations paid after 8/10/2018

Check box if late fee applies

x $25.00 =

Total - Late Fee

Total Shavings @ $12/Bag

Total Due

Payment Method *

Credit Card (4% Service Charge Added) Complete credit card information below. Mail In Check or Money Order. See Instructions below.

For mail in payments, print this form by clicking on the "Print Form" button below and mail with payment to:

Paul Cook
P.O. Box 2812 Camp Verde AZ 86322

Email form to: Arizonaphc@gmail.com

Make checks payable to: APHC

Questions? Call Paul Cook 928-301-0548

Credit Card Total

Please charge my credit card.

USD Description

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Enter the message as it's shown, then click the green button below to Submit online (or Print Form and return as indicated above). *