NOMINATION AGREEMENT FORM
Miss A. A Jones, Bryn Lluest, Cilcennin, Lampeter, Ceredigion SA48 8RJ.
Phone 01570 471023 / 0781 250 6680
www.blaenllainstud.co.uk
Owners Name &
Address:
Telephone Number:
Mobile Number
Email Address:
Name & Address where semen to be sent to if
different from above
Mares Details
Name:
Age
Breed
Colour
Height
Sire
Dam
Reg Society
Reg Number
Barren / In foal / Foal at foot
Date of Last
Season
Approximate Date Semen Required for
Fresh or Chilled Semen
Stud Fee: £375.00 NFFR
(Includes 1st collection fee & Postage Via Royal Mail).
Should your mare fail to conceive, further attempts are of course possible, for which an
additional collection fee must be charged. Please see terms and conditions.
All costs to be paid for in full before semen is dispatched.
Please make cheques payable to Miss A. A Jones, thank you.
I Agree to the terms and conditions of “Blaenllain Stud
Signed
Name
Date
Please Send a signed copy of both, the Terms & Conditions form and the Nomination form
back to: Miss A. A Jones, thank you