Purebred Arabian
Five-Generation Pedigree
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Request Form
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Name of Horse(s): ______________________________________________________________________
 
Name:  _________________________________________________________________________
 
Address:  _____________________________________________________________________
 
___________________________________________________________________________________
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Postal Code: __________________________________________________________________
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Please refer to our current fee schedule for Member and Non-Member fees

Please enclose payment.

 
_____ Certified Cheque or Money Order Enclosed
(Please Note: Personal Cheques are no longer accepted)
_____ Please charge the amount circled to my VISA or MASTERCARD.
 
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Expiry Date: ____________________________________________________place17high.gif (70 bytes)
MASTERCARD #: ____________________________________________________place17high.gif (70 bytes)
Expiry Date: ____________________________________________________place17high.gif (70 bytes)

Signature		 ____________________________________________________