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Arabian Reining Breeders Classic Life Time Stallion Enrollment Form
Registered Name of Stallion: (Include a copy of breed papers)
Life Time Enrollment Fee: $750
Life Time Enrollment is only offered to stallions over the age of 20, sterile with frozen semen only, or deceased with frozen semen available.
Stallion Name:
Breed Registration #:
Breed Type:
Stallion Status: (circle one) AGED * DECEASED * STERILE
Owners Name:
ONLY FROZEN SEMEN AVAILABLE or COOLED AND FROZEN AVAILABLE
Mailing Address:
City:
Stallion Station/Ranch Name:
State:
Agent Name:
Zip code:
City:
State:
Day Time Phone #:
Day Time Phone #:
Fax:
Fax:
Email:
Email:
Website:
Website:
Who do you want listed as the contact for the stallion in advertising?
Payment method: Credit Card (VISA, MC, AMEX)
Name:
If paying by credit card, there is an additional 5% convenience fee.
Mailing Address:
City:
Credit Card #:
State:
Exp Date:
Zip code:
Name on Card:
Cell Phone:
Mailing Address:
Work Phone:
City:
Fax:
Zip code:
Email:
Day Time Phone #:
Website:
Email:
CID#:
Billing Zip:
State:
By enrolling my stallion in the ARBC Life Time Enrollment Program, I guarantee the stallion falls within the guidelines set up for
the Life Time Enrollment qualifications. I also understand that by enrolling my stallion, his offspring will be eligible to enroll under the
foal enrolment guidelines. SIGNED OWNER: _______________________________________ Date: ______________
(If the stallion has been sold, please make the new owner aware of the program so he or she can take the appropriate action to keep the stallion current.)
I am nominating the stallion listed above in the ARBC and by doing so agree to the ARBC Terms and Conditions.
Enclosed is payment in the amount of $________________
Check# ________________________
Authorized Signature:
Date:
Return to ARBC, Inc. 28150 N Alma School Pkwy, #103-297, Scottsdale, AZ 85262; (866) 590-7683
www.ArabianReiningBreedersClassic.com
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