Indicate which breed *

Thoroughbred
Quarterhorse

Name of Stallion *

Location where stallion will be standing in New Mexico *

Breeding season year

This document is notification to the New Mexico Horse Breeders Association that beginning with the breeding season above, this stallion will be standing in New Mexico. Any and all Stallion Owner awards for foals resulting from the above breeding season and thereafter shall be paid to the following stallion owner, syndicate, or partnership:

Owner of Stallion *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Social Security Number *

Multiple Choice *

SSN
Business Tax ID #

Partnership Name

ALL STALLIONS ARE REQUIRED TO BE EVA TESTED NEGATIVE & VACCINATED WITH AN ANNUAL EVA BOOSTER BEFORE NMHBA WILL RE-ACTIVATE THEM!

Re-Activation Fee: $200.00 payable to NMHBA

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

First

Last

Date Submitted *

New Mexico Stallion Registry Re-activation Form

ALL STALLIONS ARE REQUIRED TO BE EVA TESTED NEGATIVE & VACCINATED WITH AN ANNUAL EVA BOOSTER BEFORE NMHBA WILL RE-ACTIVATE THEM!

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