New Mexico Permanent Broodmare Registration Please enable JavaScript in your browser to complete this form.NM Broodmare NumberIndicate which breed: *ThoroughbredQuarterhorseIs this a recipient mare (carrying a foal for another mare by Embryo Transfer) *NoYesWe must have the correct name of the broodmare before she can be officially entered into the New Mexico Horse Breeders Association's permanent broodmare registry.Name of Broodmare *Sire *Dam *NOTICEA copy of the broodmare's registration papers must accompany the applicationIMPORTANTIf this is a recipient mare that is not papered we require four photos (front, back, left, and right sides) Click or drag a file to this area to upload. Type of Owner *Individual owner (one person)Partnership owner (two or more persons)Syndicate/Farm/BusinessName *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Social Security or Tax ID Number *Partnership Name *Who will represent the partnership? (Give name and address below)Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Social Security or Tax ID Number *Syndicate/Farm/Business Name *Give name of manager who handles all business matters:Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Social Security or Tax ID Number *SSNBusiness Tax ID #FEE FOR THE BROODMARE REGISTRY IS $100DUE NO LATER THAN SEPTEMBER 1st OF THE YEAR BRED(The following penalties will apply after September 1st. If you miss registering the broodmare by September 1st of the year of breeding, the penalty on the foal is $350.00. If you miss a second September 1st deadline, the penalty will be $700.00 and if you miss a third September 1st deadline the penalty will be at the maximum of $1,500.00. If you pay a penalty, any younger foals out of that same broodmare will be covered under that penalty.)If your membership fees are not paid-up, please enclose annual dues.I CONFIRM THAT THE INFORMATION PROVIDED IN THIS FORM IS TRUE, COMPLETE, AND ACCURATE *FirstLastDate Submitted *FOR OFFICE USE ONLY: (Date Registered)__________________________________FOR OFFICE USE ONLY: (NM Broodmare Number)___________________________CommentSubmit
