Northwest Race Series

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Foal/Yearling Nomination Form
"PRINT AND MAIL"

Open to all foals regardless of where bred.
Distances range from 5 1/2 furlongs to 1 mile.

In order to run in the Northwest Stallion Stakes,
the sire must have been previously nominated.



For 2012 Series (Foals of 2010 - Yearlings of 2011)

Fees:

$300/$350 – Continuing eligibility, if foal was provisionally nominated in year of birth (2010). WTBOA members pay $300. Non-WTBOA members pay $350.

$1,000/$1,050 – A one-time payment per yearling if said foal was not provisionally nominated in year of birth (2010). WTBOA members pay $1,000. Non-WTBOA members pay $1,050.

Dam:
Sire:
Sex (c/f/g):
Breeding
State :
Amount Enclosed:
Name:
Address:
City, State, Zip:
Phone Number:
(incl. area code)

For 2013 Series (Foals of 2011 - Yearlings of 2012)

Fees:

$450/$500
– To fully nominate for series of 2013. A one-time payment per foal for running in series of 2013. No other payment necessary until starting and entry fees at time of each race. WTBOA members pay $450. Non-WTBOA members pay $500.

$250/$300 – Provisional nomination per foal for running in series of 2013. A further eligibility payment is due on or before December 31, 2012, in order for provisionally nominated foals to compete in 2013. WTBOA members pay $250 now and an additional $300 the following year. Non-WTBOA members pay $300 now and an additional $350 the following year.

Dam:
Sire:
Sex (c/f/g):
Breeding
State :
Amount Enclosed:
Name:
Address:
City, State, Zip:
Phone Number:
(incl. area code)
Total amount enclosed:


EXTENDED DEADLINE:
Payment MUST BE POSTMARKED no later than
FEBRUARY 15, 2012


One-month Late Fee Extension Payment Available
Foals of If paid by Dec. 31, 2011 If paid by Feb. 15, 2012
2010 Continuing Eligibility Payment $300 ($350) $500 ($550)
2010 One-time Yearling Payment $1,000 ($1,050) $1,200 ($1,250)
2011 One-time Weanling Payment $450 ($500) $650 ($700)
2011 Provisional Weanling Nomination $250 ($300) $450 ($500)

Use this section if
MAILING IN PAYMENT

Print out form
and mail with
credit card information
OR
with check payable to:

WTBOA
P.O. Box 1499
Auburn, WA 98071-1499

Check enclosed
Charge to Visa
Charge to MasterCard
      Card No. 
      Exp. Date (Mo./Yr.) 
      Signature  
      (Please PRINT and SIGN completed form)

For additional information, contact us at (253) 288-7878
Fax: (253) 288-7890
E-mail: maindesk@washingtonthoroughbred.com


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