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First name:    Last name:    Zip:    Mare:   
 
Breeding Season (Year):      Service Agreement Year:
Stallion Information
Stallion
AHS Reg. No.
VhW Reg. No. 31-
Farm Name
Address
Mare Owner/Lessee Information
First Name
Middle Initial
Last Name
Street Address
City
State/Province
Zip/Postal Code
Country
Day Phone
Evening Phone
Mobile Phone
Fax
Email
Website
Mare Information
Mare's Registered Name
AHS Reg. No.
VhW Reg. No. 31-
Breed (if not Hanoverian)
Breed Registry Number
Birth Date
Age
Color
Marking(s)
Sire
Dam
Tentative Breeding Date
Veterinarian Information
Veterinarian doing the breeding work
Veterinarian clinic/hospital name
Day Phone
Evening Phone
Mobile Phone
Fax
Email
Shipping Address
City
State/Province
Zip/Postal Code
Country
 
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