Mares registration

Mares registration form

According to the cover conditions that I expressly acknowledge hereby I report to cover by:

Stallion:*

Mare:*

Color:*

Born:*

Life number:*

The Mare is:*

Father:

Mother:

Mare FIZO tested:*

Result FIZO examination:

Eczema treatment:*

Mare is placed on:*

The registration fee of 250€ ,please transfer to the following account:
Account owner: Günther Weber
IBAN: DE78150502003200013787
BIC: NOLADE21NBS
Signature upon delivery.

Owner data

Owner of the mare:*

Street, House number:*

ZIP, City:*

Phone:*

Telefax:

E-Mail Address:*

Remarks:

Data protection:*

By submitting the form, you agree that your personal data will be stored by us and used in the context of this request.

Don't fill this field!