Free 09 Nom Book.pmd - Indiana

For Office Use Only

INDIANA SIRED FAIR CIRCUIT
2009 Nomination Form Two-Year Olds & Three-Year Olds
State Form 49803 (R6/1-09) Approved by State Board of Accounts 2009

Nominations for 3 YR Olds must be postmarked by March 15, 2009 Nominations for 2 YR Olds must be postmarked by May 15, 2009

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2009 INDIANA SIRED FAIR CIRCUIT
Two-Year Olds: Foals of 2007 - Nomination Fee: $300 Foals of 2007 by stallions registered in the 2006 Indiana Stallion Registry Three -Year Olds: Foals of 2006 - Nomination Fee: $300 Foals of 2006 by stallions registered in the 2005 Indiana Stallion Registry

Owner Agent: Address: City: State:

USTA #: _________________ Phone:

Zip:

Email Address: (Please provide email address if you would like to receive ISFC Point Standings when they are updated) Name of Horse Age Sex Gait Sire/Dam
(c,f,g) (T,P)

Owner

Photo copies will be accepted

Indiana Nomination Booklet

Check Payable and Mail to: Indiana Standardbred Advisory Board 150 West Market Street; Suite 530 Indianapolis, IN 46204

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