CERTIFICATE OF FOAL NOMINATION

MORGAN HORSE ASSOCIATION OF OREGON

2011-2015 FUTURITY

DRAFT

Name of foal___________________________________________________________________________

Registration # _____________________ Color ____________ Sex ______ Year of Birth______________

Name of Sire ________________________________________________ Reg # ____________________

Name of Dam _______________________________________________ Reg # ____________________

Owner’s Name _________________________________________________________________________

Farm Name

Address

_____________________________________________________ ______________M_________

Phone # Email address ____________________________

Send copy of papers when available. Must be provided before or with yearling re-nomination.

Payments due:

Initial Nomination postmarked by March 31, 2011 $45.00 (or)

(can send in year conceived thru March the year the foal is to be born)

Replaced by Late Initial Nomination fee thereafter $100.00

Until close of OMC Entries

Re-nomination by December 31, 2011 $25.00

Re-nomination by December 31, 2012 $25.00

Re-nomination by December 31, 2013 $25.00

Re-nomination by December 31, 2014 $25.00

______________________________________________________________________

Signature of Owner

Circle item you are paying. Make checks payable to MHAO Futurity.

Mail to:

Gay Adams, Futurity Secretary

16818 S. Manor Dr.

Oregon City OR 97045.

(503) 936-4276 cell, (503) 882-7114 home