GLQHA NOMINATION FORM

Indicate name of horse and race on check. Make check payable to Great Lakes Quarter Horse Association. Mail nominations and sustaining payments to:
Great Lakes Quarter Horse Association
11623 E. Michigan Avenue
Galseburg, MI 49053
Phone (269) 665-9284

Name________________________________________________ (circle one) owner - lessee

Address___________________________________________________________

City_______________________________ State______________ Zip__________

Phone:_________________

Name of Horse Color/Age/Sex
Sire/Dam
Name of Race
_____________________ __________ ____________________________ ____________________________
_____________________ __________ ____________________________ ____________________________
_____________________ __________ ____________________________ ____________________________
_____________________ __________ ____________________________ ____________________________
G.L.Q.H.A. Membership is required. All nonmember entries will be returned.

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MPM NOMINATION FORM

Indicate name of horse and race on check. Make check payable to Isabella Bank, MPM Escrow Account. Mail nominations and sustaining payments to:
Mt. Pleasant Meadows
P.O. Box 220
Mt. Pleasant, Michigan 48858
Phone: (989) 772-2725

Name________________________________________________ (circle one) owner - lessee

Address___________________________________________________________

City_______________________________ State______________ Zip__________

Phone:_________________

Name of Horse Color/Age/Sex
Sire/Dam
Name of Race
_____________________ __________ ____________________________ ____________________________
_____________________ __________ ____________________________ ____________________________
_____________________ __________ ____________________________ ____________________________
_____________________ __________ ____________________________ ____________________________



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