NOMINATION AGREEMENT FORM

Owners name and address ________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Telephone no:_______________________  Mobile no: _________________________
Email address:__________________________________________________________

Name and address where semen is to be sent if different from above.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Mares Details
Name ________________________________ Age______________ Breed________________________
Colour _______________________________Height__________________________________________
Sire _________________________________ Dam ___________________________________________
Reg. Society __________________________ Reg. no: ________________________________________
Barren/infoal/foal at foot ___________________________ Last Season Date: ______________________
Approx date semen is required_______________________ Fresh or Chilled semen __________________

STUD FEE £350.00 NFFR   (includes 1st collection fee and postage via Royal Mail)
Should your mare fail to conceive, further attempts are of course possible, for which additional collection fee must be charged. Please see terms and conditions. All costs to be paid for in full before semen is despatched.
Please make cheques payable to D E PHILLIPS, Thank You.
I agree to the terms and conditions of Foxridge Stud.

Name ________________________________  Date_________________________
Signed ________________________________

Please send a signed copy of both the terms and conditions form and the nominations form back to Foxridge Stud