Name of foal___________________________________________________________________________

Registration # _____________________ Color ____________ Sex ______ Year of Birth______________

Name of Sire  ________________________________________________  Reg # ____________________

Name of Dam  _______________________________________________  Reg # ____________________

Owner’s Name  _________________________________________________________________________

Farm Name                                                                                                                                                                         

Address                                                                                                                                                                                 

_____________________________________________________    _________________________     

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 31st, 2010                         $45.00  (or)

              Late Initial Nomination on or after April 1^st, 2010                      $100.00

              until close of entries for the 2010 OMC show.

Re-nomination by December 31, 2010                                               $25.00 

            Re-nomination by December 31, 2011                                               $25.00 

Re-nomination by December 31, 2012                                               $25.00 

            Re-nomination by December 31, 2013                                               $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

Email:  sunstonemanor@comcast.net