Name of Broodmare *

Breed *

Thoroughbred
Quarterhorse

This mare is the: *

Dam (CARRYING FOAL)
Donor Mare (OPEN)
Recipient Mare (Carrying another mare's foal)

The Dam/Donor Mare must have spent a minimum of 30 consecutive days in New Mexico the year the breeding took place AND the year of pregnancy.

Name of Donor Mare *

Mare Status

Mare lives in New Mexico
Mare came to New Mexico to be bred

Date of Arrival in New Mexico *

Arrived in what location in New Mexico? *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Date of Departure from New Mexico *

Departing from what location in New Mexico? *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Stallion bred to: *

Owner(s) of Broodmare *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Payment Due

Paid by October 1 or within 10 days of leaving the state of NM ($500)
Paid after the deadline of October 10 ($1,000)

I have read and agree to be bound by the terms of this agreement and have followed the New Mexico Horse Breeders Association By-Laws and Rules and understand it is my responsibility to provide accurate information or application may be denied.

I CONFIRM THAT THE INFORMATION PROVIDED IN THIS FORM IS TRUE, COMPLETE, AND ACCURATE *

First

Last

Date Submitted *

Export Broodmare Form

The Dam/Donor Mare must have spent a minimum of 30 consecutive days in New Mexico the year the breeding took place AND the year of pregnancy.

ALL FEES ARE NON REFUNDABLE AND INCOMPLETE FORMS WILL BE RETURNED

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