Name of Mare________________________ Name of Stallion_____________________

Mare Owner(s)____________________________________Email_______________________

Address___________________________City____________________State_______Zip._______

I understand the resulting foal must be properly registered with the Appaloosa Horse Club, Moscow, Idaho or have a work order number.

Signature(s) of Mare Owner(s)__________________________ Date_______ Phone___________

Mail completed nomination along with your cheek Payable to: WMAR, Inc.