Registration Number

Indicate which breed *

Thoroughbred
Quarterhorse

Name of Stallion *

Sire *

Dam *

Location where stallion stands in New Mexico *

Type of Owner *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Social Security Number or Tax ID # *

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 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 *

Multiple Choice *

SSN
Business Tax ID #

Notice

A copy of the stallion's registration papers, negative EVA test results and current EVA vaccination records must accompany application.

File Upload

Click or drag a file to this area to upload.

FEE FOR THE PERMANENT STALLION REGISTRY IS $400

If your membership fees are not paid-up, please enclose annual dues.

STALLION MUST BE REGISTERED BEFORE BREEDING OR PENALTIES WILL APPLY.

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 Stallion Number)___________________________

New Mexico Permanent Stallion Registration

Notice

FEE FOR THE PERMANENT STALLION REGISTRY IS $400

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