NM Broodmare Number

Indicate which breed: *

Thoroughbred
Quarterhorse

Is this a recipient mare (carrying a foal for another mare by Embryo Transfer) *

No
Yes

We 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 *

NOTICE

A copy of the broodmare's registration papers must accompany the application

IMPORTANT

If 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 *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Social Security or Tax ID Number *

Partnership Name *

Who will represent the partnership? (Give name and address below)

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Social Security or Tax ID Number *

Syndicate/Farm/Business Name *

Give name of manager who handles all business matters:

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Social Security or Tax ID Number *

SSN
Business Tax ID #

FEE FOR THE BROODMARE REGISTRY IS $100

DUE 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 *

First

Last

Date Submitted *

FOR OFFICE USE ONLY: (Date Registered)__________________________________

FOR OFFICE USE ONLY: (NM Broodmare Number)___________________________

New Mexico Permanent Broodmare Registration

FEE FOR THE BROODMARE REGISTRY IS $100

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