Free 09 Nom Book.pmd - Indiana

INDIANA SIRES STAKES
2009 Nomination Form Two-Year Olds, Three-Year Olds & Aged (Four-Year Olds & Older)
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State Form 49804 (R6/1-09) Approved by State Board of Accounts, 2009

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

2009 INDIANA SIRES STAKES
Two-Year Olds: Foals of 2007 - Nomination Fee: $500 Foals of 2007 by stallions registered in the 2006 Indiana Stallion Registry Three-Year Olds: Foals of 2006 - Nomination Fee: $500 Foals of 2006 by stallions registered in the 2005 Indiana Stallion Registry Aged: Foals of 2005 or earlier - Nomination Fee: $500 Foals of 2005 or earlier by stallions registered in the 2004 or earlier Indiana Stallion Registry

Owner Agent: Address: City: Email Address: State:

USTA #: _________________ Phone:

Zip:

(Please provide email address if you would like to receive ISS 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

Check Payable and Mail to: Indiana Standardbred Advisory Board 150 West Market Street; Suite 530 Indianapolis, IN 46204
Indiana Nomination Booklet 15