Page 9 - December 2005 The Game
P. 9

Your Thoroughbred Racing Community Newspaper The Game, December 2005 9
E-MAIL: bcnominations@breederscup.com
Interactive nominations are available at www.breederscup.com
NOMINATIONS ARE MADE IN ACCORDANCE WITH ALL CONDITIONS APPLICABLE TO THE PROGRAMS OF BREEDERS’ CUP LIMITED. *CANADIAN STUD FEES WILL BE CONVERTED ON DECEMBER 15, 2005.
Nominations must be postmarked by midnight, December 15, 2005.
Please supply the information below and mail or fax to:
Breeders’ Cup Limited, P.O. Box 4230, Lexington, KY U.S.A. 40544-4230 TEL: (859) 223-5444 or 1-800-RACE-CUP (722-3287) FAX: (859) 223-3945
Nomination fee is equal to the advertised stud fee [Minimum $1,000 (U.S.)].* Payment of $100 (U.S.) per stallion must accompany this form.
*Breedings that result in 50 or more live foals will result in additional fees.
TOTAL PAID
BREEDERS’ CUP 2006 STALLION NOMINATION FORM
STALLION NAME
YEAR FOALED
SIRE
DAM
ADVERTISED OR FARM FEE
DUE NOW
AMOUNT PAID (U.S. DOLLARS)
$100.00 (U.S.)
$
METHOD OF PAYMENT
I VISA I MASTERCARD I AMERICAN EXPRESS I CHECK OR MONEY ORDER AMOUNT ENCLOSED: $ ___________________________________________________
(PLEASE NO CURRENCY)
CARD HOLDER: __________________________________________________________
IIIIIIIIIIIIIIII CARD ACCOUNT NUMBER (PLEASE LIST ALL NUMBERS ON CARD.)
I I – I I
MONTH YEAR ________________________________________________ EXPIRATION DATE (REQUIRED) CUSTOMER SIGNATURE (REQUIRED)
OWNER INFORMATION
NAME: ___________________________________________________________________ FARM/COMPANY: __________________________________________________________ ADDRESS:________________________________________________________________ CITY: ____________________________________________________________________ COUNTRY: ________________________________POSTAL CODE: __________________ TELEPHONE: _______________________________ FAX: _________________________ E-MAIL: __________________________________________________________________
STANDS AT
FARM NAME: ___________________________________________________________________________________________________________________________________________ CITY/PROVINCE: ____________________________________________________________________ TELEPHONE: _______________________________________________


































































































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