Page 85 - NMHBA_FALL2021

3.
For a syndicate or farm owner
Give name of manager who handles all business matters:
Name
Address
City State Zip
Phone #
Social Security or Tax ID #
NOTICE
A copy of the broodmare's registration papers must accompany application.
If this is a recipient mare that is not papered we require four photos (front, back, left, and right sides).
FEEFORTHEPERMANENTBROODMAREREGISTRYIS ....$100 Due no later than September 1st of the year bred.
( The following penalties will apply after September 1st. If you miss registering the broodmare by September 1st of the year of breeding, the penalty on the foal is $350.00. If you miss a second September 1st deadline, the penalty will be $700.00 and if you miss a third September 1st deadline the penalty will be at the maximum of $1,500.00. If you pay a penalty, any younger foals out of that same broodmare will be covered under that penalty.)
If your membership fees are not paid-up, please enclose annual dues. (Use Form #400)
Applicant's signature
sign here
MAIL TO:
NEW MEXICO HORSE BREEDERS ASSOCIATION 4836 HARDWARE DR. NE, SUITE B ALBUQUERQUE, NM 87109
PHONE (505) 262-0224
For Office Use Only
Annual Dues payable by January 1
Date Registered
Registration #
FALL 2021 83