The AuSable Collection High Point Challenge 2011

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Number of Slots Requested – list ALL names at bottom of page: ___________________________________________________
Owner/Purchaser of slots: _______________________________________________________________________________________
Stable Name: __________________________________________________________________________________________________
E-mail:_________________________________________________________________________________________________________
Location (State or Country):______________________________________________________________________________________

Payment Information:
PayPal amount: ________________________________________________________________________________________________
US Postal Money Order amount: _________________________________________________________________________________

E-mail this form and PayPal payment to: The AuSable Collection Challenge at [email protected]
E-mail for mailing address is paying by US Postal Money Order.

Please put a check next to purebred OR part-bred 

Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____
Horse Name:_________________________________________________________________________ purebred____  part-bred____