MPHA Select Futurity

2 YEAR-OLD SNAFFLE BIT

FIRST NOMINATION FORM DUE JUNE 1, 2008

Eligible Foals: all foals who’s sire’s service sold on the 2005 auction

Registered Owner: _________________________________________________ Email: ___________________________________

Address: ____________________________________________________________________Day Phone: ______________________

City: ________________________________________ State ________________ Zip: _____________ Date: ______________

Name of Horse: ___________________________________________________Reg. #: ________________________ Sex: ________

Dam: _________________________________________________ Sire: _________________________________________________

Name of owner as it appears on tax forms: _________________________________________ SS or Tax ID Number: _____________

Check all that apply: Please enclose a copy of registration papers with first nomination

EARLY BIRD PAYMENTS

NO SUBSEQUENT SUSTAINING PAYMENTS NEEDED IF PAID BY MAY 1, 2008.

_____ $100.⁰⁰ Snaffle-bit

Nomination Fee due June 1, 2008 _____$25.00 Snaffle-bit

1^st sustaing fee Due July 1, 2008 ________$50.00 Snaffle-bit

2^nd sustaing fee Due Aug 1, 2008 ______ $50.00 Snaffle-bit

Late Fees: Double each missed payment. No new nominations accepted after August 1, 2008.

This form is intended to be copied. Please fill out and return a copy with each of your payments.

Make all checks payable to MPHA select Futurity: Mail completed form, copy of registration papers,
and payment to:

Shannon Williams, 1726 County Rd D, Emerald, WI 54013

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MPHA Select Futurity

YEARLING HALTER, YEARLING LONGE LINE

FIRST NOMINATION FORM DUE JUNE 1, 2008

Eligible Foals: All foals who’s sire’s service sold on the 2006 auction

Registered Owner: ___________________________________________________________Email: ___________________________

Address: ____________________________________________________________________Day Phone: ______________________

City: ________________________________________ State ________________ Zip: _____________ Date: ______________

Name of Horse: ___________________________________________________Reg. #: ________________________ Sex: ________

Dam: _________________________________________________ Sire: _________________________________________________

Name of owner as it appears on tax forms: _________________________________________________

Social Security or Tax ID Number: _______________________________________________________

Check all that apply: Please enclose a copy of registration papers with first nomination

EARLY BIRD PAYMENTS

NO SUBSEQUENT SUSTAINING PAYEMNTS NEEDED IF PAID BY MAY 1, 2008.

_____ $60.⁰⁰ Yearling Halter _____$100^.00 Yearling Longe Line

Nomination Fee due June 1, 2008 _____ $25.00 Yearling halter _____ $25.00 Yearling Longe line

1^st sustaing fee Due July 1, 2008 _____ $25.00 Yearling halter _____ $50.00 Yearling Longe line

2^nd sustaing fee Due Aug 1, 2008 _____ $25.00 Yearling halter _____ $50.00 Yearling Longe line

Late Fees: Double each missed payment. No new nominations accepted after August 1, 2008.

This form is intended to be copied. Please fill out and return a copy with each of your payments.

Make all checks payable to MPHA select Futurity: Mail completed form, copy of registration papers,
and payment to:

Shannon Williams, 1726 County Rd D, Emerald, WI 54013