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Towkay
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Zed
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Breeding Application
Please fill in the form below for breeding applications. Contact Kirsty, George or Sam on 06 377-5098 or
laoffice@lastud.co.nz
about other contracts for agistment, foaling, insemination and serving along with the Little Avondale Stud's Terms and Conditions.
Stallion Details:
Choose Stallion:
Towkay
Zed
Mare Details:
Name of Mare:
Year of Birth:
Colour:
Brands:
Near Shoulder:
Off Shoulder:
Sire of Mare:*
Dam of Mare:*
2005 Season
Served by:
Result:
2006 Season
Served by:
Last Service Date:
In Foal:
yes
no
2007 Season
Maiden Mare:
yes
no
Has Mare been vaccinated against E.V.H?
yes
no
Vaccine Used:
PE
PK
Date Vaccinated:
If Mare has previously slipped, give reason (if known):
Please specify any vet treatments or unusual characteristics of the Mare that you consider should be brought to LA Stud's attention that may assist with getting your Mare in foal:
Any race performance and relationship to other bloodstock would also be helpful:
Owner Details:
Mare Owner:*
Address:
GST No:
Home Ph:*
Work Ph:
Mobile:
Email:*
Fax:
*I authorise the Services listed above and certify that the above information is true and correct and that I am authorised to complete this Service Contract form and make this application for credit. In accordance with the Privacy Act (1993) I authorise any person or company to give information as may be required in response to credit inquiries. I have read and understood the
TERMS OF TRADE AND SERVICE
of Little Avondale Stud Trust which form part of, and are intended to be read in conjunction with this Service Contract form and agree to abide by these conditions.
Yes, I would like a copy emailed to me too