II Eleven Bar East Ranch II SHIPPED SEMEN CONTRACT This contract is made this ___________ day of _______________ 2010 by and between Eleven Bar East Ranch and ________________________________. MARE INFORMATION Mare Owner or Lessee (circle one): ___________________________________________ (Copy of registration papers and lease agreement—if applicable-must be attached) Address: ________________________________________________________________ City: __________________________________ State: _________ Zip: ______________ Phone (Day): ___________________________ Phone (Evening): __________________ Email: __________________________________________________________________ Registered Name of Mare: __________________________________________________ Registry and Registration Number: ___________________________________________ Date of Birth: ___________________________ Breed: ___________________________ Description: _____________________________________________________________ STALLION INFORMATION Stallion Owner: Robert and Connie Helms Registered Name of Stallion: (____________________________) Registry and Registration Number: (____________________________) Date of Birth: (__________) Breed: Quarter Horse STUD FEES AND TERMS STUD FEE TOTAL: $(_________) 1. STUD FEE IS PAYABLE PRIOR TO SEMEN BEING SHIPPED 2. Eleven Bar East Ranch confirms the shipped semen to be breeding sound. II2805 Lower Moncure Rd II Sanford, NC 27330 II II II Eleven Bar East Ranch TERMS OF AGREEMENT 1. Eleven Bar East Ranch may terminate this agreement for failure of Mare Owner to satisfy the terms of this agreement. In the event of a beach of terms of this agreement, Eleven Bar East Ranch shall have the right to recover fees, costs, and expenses as a result of said default. Eleven Bar East Ranch may, but is not obliged to, give the Mare Owner a reasonable amount of time not to exceed ten (10) days to cure any default. 2. This agreement shall not be amended, changed, or supplemented except by a written document signed by Eleven Bar East Ranch and Mare Owner. 3. This agreement shall be interpreted and construed in accordance with the Laws of the State of North Carolina. FEES PAID BY MARE OWNER • Shipped Semen (FEDEX overnight shipment)……………………. Per FEDEX Charge • Equitainer deposit (refunded at end of breeding season)…………. $35.00 THE PARTY SIGNING THIS CONTRACT SPECIFICALLY REPRESENTS THAT HE OR SHE IS THE LEGAL REGISTERED OWNER OF THE MARE AS RECORDED BY MARE’S APPROPRIATE REGISTRY. A PHOTOCOPY OF THE MARE’S REGISTRATION PAPERS IS REQUIRED TO COMPLETE THIS CONTRACT. Signatures: Eleven Bar East Ranch authorized representatives: Name E-Mail address Telephone No. FAX No. Connie Helms conniecahhelms@aol.com 919-708-3983 919-775-1704 Chad Shepherd cwshepherd@yahoo.com 813-477-4740 919-775-1704 Robert Helms helmsrfh5@aol.com 919-353-1870 919-775-1704 Signature of Mare Owner(s): ______________________________________________ ______________________________________________ Print Name(s): __________________________________________________________ Date: _________ II2805 Lower Moncure Rd II Sanford, NC 27330 II