ANNEX A TO PART 3
PERCHERON HORSE BREEDERS ASSOCIATION
OF AUSTRALIA Inc.
(ABN 34 065 797 935)
APPLICATION FOR REGISTRATION
Pure Bred □
Appendix □
Warmblood □
Dual Appendix/WB □
All applicants for registration of an animal must be financial members of the PHBAA Inc. Applications
must be made on the Association’s official form and be accompanied by a Stallion Service Certificate
and the prescribed fee. ALL ANIMALS MUST BE BRANDED BEFORE REGISTRATION CAN OCCUR.
NAME OF HORSE__________________________________________________________
FOALING DATE__________________ SEX Colt/Stallion/Gelding/Mare
BRAND____________________________________________ COLOUR______________
(Include written description)
MICROCHIP NO___________________________________________________________
FULL MARKINGS__________________________________________________________
OWNERS NAME___________________________________________________________
OWNERS ADDRESS________________________________________________________
PHONE__________________________
EMAIL________________________________
BREEDERS NAME__________________________________________________________
BREEDERS ADDRESS_______________________________________________________
PHONE__________________________
EMAIL________________________________
FEE $______________
Mares & Geldings
Colts
Stallions (Cold recorded)
Stallions
$40
$40
$60
$100
Late registration Stallions
$200 – all others $40
-2EFT Payment Details: BSB 084-876 Account No. 645 673 472. Please include your stud
name or surname in the ‘to account description’ so we may match your payment
against the bank statement. Also email the Secretary with the detail of the payment
to edorman@ballarafarm.com.au.
RETURN THIS FORM TO: The Registrar, PHBAA Inc. “Ballara Farm” 89 Maryvale St, Hendon Q 4362
See Page 3 to complete pedigree and description