Breeders Cup Halter Futurity Sale Entry Form
Des Moines, Iowa ~ September 24, 2011
Entry Deadline ~ July 14, 2011
Horse’s Registered Name & Number _____________________________________________________
Circle one:
AQHA
APHA
ApHC
Other
Date of Birth (Month/Day/Year): __________________ Color: ________________ Sex:__________
If broodmare: Foal at side: yes
no
Sire of foal: ____________________________________________________________
Service Sire & Number:________________________________________________________________
Last Breeding Date: __________________
Sire
Sire's Sire
Sire
Dam
Sire
Sire's Dam
Consignment
Dam
____________________
Registration No.
Sire
Dam's Sire
Dam
Dam
Sire
Dam's Dam
Dam
Notes:_______________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Owner’s Name:_____________________________Catalog in the Name of:_________________________
Mailing Address:______________________________________________
City, State, Zip:_______________________________________________
Telephone No.____________________Fax No:______________________
E-mail address:_______________________________________________
I HAVE READ & AGREE TO THE TERMS AS SET FORTH ON THE REVERSE SIDE OF THIS DOCUMENT
SIGNED:______________________________________________________________(date)__________
Return to:
Gina Stopher ~ 4451 CR 477 ~ May, TX 76857 ~ Fax: (888) 600-5741
940-727-3589 ~ ciscolena@aol.com