OBHA Horse Pull Entry Form

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 CHAIRMAN     
Mike Morden (905)985-0815
1552 Reach Rd.,                                      
Port Perry, ON                               
L9L 1B2    

MAIL ENTRY FORM AND FEE TO
Shannon Lindquist (705) 887-3350               
4501 Highway 35, RR #2,
Cameron, ON
K0M 1G0  

 
                                           

PULL DATE-Friday, April 29, 2011
Light:  7 p.m.
Heavy: 9 p.m.
Entry Fee - $25.00 per team    

Entry Closing Date- April 22, 2011

Coggins Test will be enforced ( within 12 months of Pull Date)
Proof of Pull Insurance and Expiry Date must be provided ( Including Copy or Letter Stating You Have Coverage for Pulls.)
Please complete the following information and enclose with Entry fee.

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  [_____]
$25.00  Fee received cash or cheque      [_____]                    
Insurance Acceptable                                  [_____]                           

ĉ
rymarbelgians@sympatico.ca,
Feb 23, 2011, 4:27 AM
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