Page 128 - 2020 Stallion Register

Date of EV A Booster
Signature of V eterinarian Administering V accination
License Number
Phone Number F ax Number
New Mexico Horse Breeders Association
4836 Hardware Dr NE Suite B Albuquerque, NM 87109 (505) 262-0224
STALLION EVA BOOSTER
CERTIFICATION
(Equine V iral Arteritis)
Name of Stallion:
Name of Owner:
Location and Physical Address of where stallion is standing: ____________________________ ______________________________________________________________________________
______________________________________________________________
______________________________________________________________
Mailing Address for location where stallion is standing: _______________________________ ______________________________________________________________________________
Printed name of V Clinic Name
eterinarian Administering V
accination
Address
Regardless of the date your stallion was vaccinated previously, he is REQUIRED to have an
EV A vaccination (booster) each year prior to breeding to remain an ACTIVE NM Stallion.
Mandated recommendations:
• V accinate at least 30 days prior to the breeding season.
• Contact the New Mexico Livestock Board at (505) 841-6161 for requirements and/or any
questions regarding isolation of your stallion.
THISF ORMMU STBERETURNEDBY JA NUARY ,4102 02 INORDERTOK EEPY OU R STALLION ACTIVE IN THE NEW MEXICO HORSE BREEDERS’
STALLION REG ISTRY .
* * * IF Y OU RSTALLIONISMARK EDIN-ACTIV EBECAU SEW EDIDNOTRECEIV ETHISF ORMBACK BY J ANU ARY 14, 2019, THERE IS A $200.00 RE-ACTIV ATION F EE.* * *
City
State Zip
126
New Mexico Horse Breeder
rev 2019.02