PLEASE TYPE IN YOUR ANSWERS, THEN PRINT.

What discipline of riding or driving do you wish to pursue with your new horse?

Please tell us about your experience and skills as a horse person:

May we contact your veterinarian as a reference?�� Yes or No:

Veterinarian�s Name:

Phone Number:

Street Address:

May we contact your farrier as a reference?�� Yes or No:

Farrier�s Name:

Phone Number:

Street Address:

City, State, Zip Code:

City, State, Zip Code:

In addition to your veterinarian and farrier, please list two other references - not related to you - who can attest to your skills with horses:

First Name:

Telephone Number:

Street Address:

City, State, Zip Code:

Second Name:

Telephone Number:

Street Address:

City, State, Zip Code:

Other

Comments:

Thank you for your interest in adopting a horse from E.P.O.N.A.� Please fax this prospectus to 603-679-1896,

or mail to E.P.O.N.A., PO Box 315, Epping, NH� 03042-0315

 

Back to General Rescue page.� Back to Premarin page.� Continue to Adoption Agreement.

If you have a particular horse/foal in mind, please indicate the name/s: