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Nomination Request

Contacts

Stallion *:

Name of Mare*:

Mare's Date of Birth*:

Colour of Mare:

Sire:

Dam:

Dam's Sire:

Current Condition of Mare*:

Last Stallion Bred to:

Last Breeding Date:

Name*:

Street Address*:

Town/City*:

State/County*:

Country*:

Post Code:

Telephone Number(include international and area codes): *:

Fax Number:(include international and area codes): :

Email Address:

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Tel:0033-603520564 | enquiries@harasdulogis.com

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