AzPHC Online Stall Reservation Flagstaff 2021

ARIZONA PAINT HORSE CLUB

STALL/TACK ROOM RESERVATIONS FORM

APHC Paints in the Pines No Bling 2022

August 13th & 14th 2022
Coconino County Fairgrounds
Flagstaff, AZ

Stalls/tack rooms MUST BE PREPAID when reserved. Make checks payable to APHC/STALLS.
Envelope must be postmarked by August 5th, 2022
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,12th 2022. 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 5th 2022.

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 08/05/2022

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:

Laurie Roden
217 E. Lesuire Lane, Phx AZ 85086

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
Card Expiration

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