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[please print the below nomination form]
2007 VPA Fall Into Gold Futurity – Incentive Program
Stallion Nomination Form
Name of stallion: ________________________________________________________________
Breed Assoc:_________ Registration number:_______ Yr foaled:_______ Color:_______________
Name/Address of farm at which stallion is standing:______________________________________________________________________
____________________________________________________________________________
Name of person nominating stallion:__________________________________________________
Mailing address: ________________________________________________________________
City/State/Zip:__________________________________________________________________
Telephone:__________________ email address:________________________________________
Is the person nominating the stallion the stallion owner? Yes: ____ No:_________
If the answer is no, please give the stallions owner’s name:__________________________________
Contact info:____________________________________________________________________
What is the relation of the nominator to the stallion owner?: _________________________________
Please note that the stallion owner will receive any incentive fund checks that result from his/her stallion’s
get placing in the money at any FIG IP futurity classes.
Please submit a photo of the stallion & any pertinent information [pedigree/show record/sire record] to be
included in our advertising & on the VPA website.
It is understood that three payments are required in order to nominate a stallion & make his foals eligible for the
2007 Fall Into Gold Futurity. Late payments, postmarked within 30 days, will be accepted with a 50% late fee.
2007 Payment Schedule per stallion:
__April 1 postmark - $50.00; __July 1 postmark - $50.00; __September 1 postmark - $100.00
Late fee Payment Schedule per stallion:
__May 1 postmark - $75.00; __August 1 postmark - $75.00; __October 1 postmark - $150.00
Foals, by any stallions NOT nominated IN FULL by October 1st will not be considered eligible & any payments
made, to that time, will be forfeited to VPA.
Payments are to be made out to: "Virginia Palomino Assoc" & mailed to the VPA secretary:
Rita Ashley
757-986-4340 fax 757-986-3909
The undersigned is stating that he/she has the authority to nominate the stallion__________________ into the
VPA Fall Into Gold Futurity Incentive Program and has also read the VPA FIG IP rules & agrees to abide by them:
Stallion Nominator's name: _____________________________________________________________ Signature_____________________________________________________ Date:________________
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