Futurity Nomination Amnesty Period - Today thru January 31, 2012

From now through January 31, 2011, Due to current economic restraints Futurity Nominations may be paid for the 2010 year ONLY without any late penalties. 

OWNER INFO:_____________________________________

ADDRESS:  _______________________________________

 _________________________________________________

PHONE: __________________________________________

HORSES NAME:___________________________________

DATE OF FOALING: _________GENDER: ______________

SIRE: ____________________________________________

DAM: ____________________________________________

CHECK WHAT APPLIES:
($50)SIRE NOMINATION________ ($30)DAM NOMINATION_______
($30)FOAL NOMINATION________($30)MEMBER FEE___________
($40)FAMILY MEMBERSHIP___($10)WEB ADVERTISING FEE_____
TOTAL $__________________
postmarked by 1/31/2012, Make checks payable to:  MMHBF and mail to:
Debbie LaMay
8080 Riverside Rd
Brooklyn, MI  49230
(517) 740-5230