Paso Fino Horse Association, Inc.

Stallion Breeding Report Form

Deadline: January 31 of year following breeding(Covers preceding Calendar Year)
Reports Submitted after January 31 will be charged a late fee of $50.00 + $50.00 Filing fee + $10.00 per mare (Amended Reports $25.00 + $10.00 per mare)

FILING FEE	$50.00 + $5.00 per mare
Breeding season of

Stallion Information

Stallion Number
Membership # of Stallion Owner

Mare	Service Type	First Breeding Date MM / DD	Last Breeding Date MM / DD	OK for Foal Reg

Click Add Mare to add mares. A pop up box will come up where you will enter your mare information. If you receive security warnings press "Yes." Enter all mare information then press Submit. You may add multiple mares from the popup screen. When you have completed entering all your mares for this registration, click Close. Click Delete Mare to delete mares. Select the mares you want to delete by clicking them in the grid.

Credit Card Information

Please insure the information below is correct.

Mastercard

Visa

AMEX

Card Number

Exp. Date

CVV

(last digit set on back card, either 3 or 4 digits)

Card Holder Billing Information

First Name

Last Name

Address

City

State

Zip

Home Phone

Work Phone