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Note: there PDF and MS Word versions of this entry form at the bottom of this page.
PULL ENTRY FORM- 2011
DRAFT HORSE AUCTION AND PULL ORANGEVILLE FAIRGROUNDS
Under the Auspices and Management of the
ONTARIO BELGIAN HORSE ASSOCIATION
PULL DATE-Friday, April 29, 2011 Entry Closing Date- April 22, 2011 Coggins Test will be enforced ( within 12 months of Pull Date) CLASS ENTERED____________________________________________
HORSES’ NAMES ____________________________________________ PROOF OF INSURANCE NAME OF INS. COMPANY____________________________________
AGENT’S NAME______________________________________________ ADDRESS____________________________________________________ _____________________________________________________________ POLICY NUMBER___________________________________________ EXPIRY DATE________________________________________________ Entry made by
NAME_________________________________________________ ADDRESS______________________________________________ _______________________________________________ _______________________________________________ TELEPHONE ( )_______--______________ PLEASE NOTE: Proof of Insurance with expiry date ( PROOF MUST BE SHOWN IN WRITING THAT HORSE PULLS ARE COVERED) must be received with entry. Photocopy of Certificate must be mailed to Secretary with entry or presented with Coggins Certificate etc. before Pull. The Negative Coggins test must be provided to MATCH each horse before the Pull or your Entry will not be accepted. Having this done before April 22rd will make this process easier that day. For Use of OBHA only Weight of Team ___________ Coggins Provided to match each Horse [_____] |
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