Great Lakes Quarter Horse Association C/O W.R Harrison 14415 Banfield Rd. Battle Creek, MI 49017 Phone(269) 721-3366 - Fax(269) 721-3949 - Cell (269) 580-1315

LOT #___________

GLQHA STALLION SERVICE SALE STALLION INFORMATION SHEET
BREEDING AUTHORIZATION FORM
Stallion Name: _____________________________________________ REG #: _________________

Owner Name: _______________________________________ Phone #: ( ____) ________________

Address:__________________________________________________________________________

City: __________________________________________ State:______________ ZIP: ___________

SIGNATURE (Breeding Donation Authorized by): ___________________________________________
This service donated to GLQHA is transferable. A live foal is guaranteed only to the extent of a return in the following year. Substitute mares are acceptable.

Stallion is Standing at (if different from above address): Farm Name: _______________________________

Address: _________________________________________________________________________

City: _________________________________________ State: ___________ ZIP: ______________

Telephone # (____) ________________ Contact Person: ___________________________________

ELIGIBILITIES: Please list: _________________________________________________________

________________________________________________________________________________

FEES: Advertised Breeding Fee: ______________
Mare Care: Wet:___________ Dry: ___________ Other: ___________________________
Foaling Fee: _____________ Cooled Semen Available for this breeding? Yes ___ No ___
Cooled Semen Fee ______________ It shall be understood that purchaser ( mare owner ) is responsible for any normal vet, farrier and mare care fees.
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Purchasers Name: ____________________________________ Phone #: (_____)______________

Address: ________________________________________________________________________

City: ________________________________________ State: ___________ ZIP: ______________
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Please return this sheet by Mail or Fax to Walter R. Harrison (see above).