PRELIMINARY NOMINATION FORM
Confirmation
Please confirm all fields are correct and submit.
*
Race
$FORM{race}
*
Name of Horse
$FORM{hname}
*
and country foaled
$FORM{hcf}
*
Sex
$FORM{hsex}
*
Age
$FORM{hage}
Sire
$FORM{hsire}
Dam
$FORM{hdam}
*
Name of Owner
$FORM{m01} $FORM{oname}
Address
$FORM{oaddress}
Phone
$FORM{ophone2}
E-Mail
$FORM{omail}
Fax
$FORM{ofax2}
*
Name of Trainer
$FORM{m02} $FORM{tname}
Address
$FORM{taddress}
*
Phone
$FORM{tphone2}
**
E-Mail
$FORM{tmail}
**
Fax
$FORM{tfax2}
*
Nomination made by
$FORM{nname}
*
E-Mail
$FORM{nmail}
Title
(
*
Please check appropriate box)
$FORM{title}
Comments
$FORM{comments}
$FORM{_alldump}