Basic Information
(See our Privacy Policy)
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*Farm / Business Name:
Customer Number:
*Owner:
*Horse's Name:

Payment Information
Order Distribution Flyers:	$10 for members $15 for non-members
I will be paying with:	Credit Card (VISA or MasterCard) (A credit card surcharge of 4% of total charge will be added.)
	Personal Check
	Cashier's Check or Money Order
(We will be contacting you shortly to discuss your choice of payment. Once the transaction is completed, your flyer will be emailed to you shortly.)

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