Page 118 - New Mexico Winter 2021

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 stallion's registration papers, negative EVA test results and current EVA vaccination records must accompany application.
FEE FOR THE PERMANENT STALLION REGISTRY IS . . . . $400
If your membership fees are not paid-up, please enclose annual dues. (Use Form #400)
Applicant's signature
116 New Mexico Horse Breeder
sign here
MAIL TO:
NEW MEXICO HORSE BREEDERS ASSOCIATION 4836 HARDWARE DR. NE, SUITE B ALBUQUERQUE, NM 87109
PHONE (505) 262-0224
STALLION MUST BE REGISTERED BEFORE BREEDING OR PENALTIES WILL APPLY.
Date Registered
Registration #
For Office Use Only
Annual Dues payable by January 1
3. For a syndicate or farm owner