BARREL FUTURITY & DERBY
2010 STALLION NOMINATION
Nomination Fee: $150
Name of Stallion: ______________________________________________
Breed:______________________________________________________
Sire: ________________________ Dam: __________________________
Owner: _____________________________________________________
Mailing Address: ______________________________________________
Phone: ________________________ Fax: _________________________
Email: ________________________
Please check if we may contact you via email regarding the Northern Lights
Futurity & Derby.
We will not share your email address to any third-party
vendor without your permission.
promotional material, and cheque for $150 to:
Northern Lights Futurity & Derby
Stallion Nomination
Box 209
Carberry, MB R0K 0H0
Canada
Telephone: (204) 725-8112