Mare Information Form |
| Mare Owner:________________________________________________________________________________ Phone: Work: ________________ Home: _________________ Fax:_______________ Email:_______________ Billing Address: _____________________________________________________________________________ City: _________________________ State: ___________________Zip Code: ____________________________ Shipping Address (for semen delivery):___________________________________________________________ City: ______________________________________ State: ____________________ Zip Code: _____________ Credit Card Information (for semen container deposit): Credit Card Type: _______________ Credit Card Number :____________________ Expiration date:_________ Mare’s Name: ___________________________________________ Barn Name _________________________ Age: _______ Height:_________Breed:_____________________Registration #: __________________________ Veterinarian (handling breeding): ___________________________________Phone: ________________________ Address:___________________________________________________________________________________ Address of closest Federal Express Office:_______________________________Saturday Delivery?:__________ Closest airport:_________________________________________________________________________ Approximate breeding date_____________________________________________________________________ Registry your mare is approved by: ______________________________________________________________ Desired Registry for foal: ______________________________________________________________________ How did you hear about Donnerluck? ____________________________________________________________ |
| FOR MARES WHO WILL BE BOARDED AT COPPER SPRING FARM ONLY: Has this mare been bred ever before?:____________ Method of Breeding: ______________________________ Results of each breeding: __________________________________________________________________________________________ How many times was mare bred to achieve a pregnancy?: __________________________________________________________________________________________ Any history of early embryonic loss?: __________________________________________________________________________________________ Please detail special care this mare may need to maintain a pregnancy i.e. progesterone, caslicks: __________________________________________________________________________________________ |
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