This agreement is subject to the laws of the States of New Hampshire and Massachusetts.

 

��������� Executed this __________ day of _________________________, __________

������������������������������ (Date)������������������� (Month)�������������������������������� (Year)

 

at ______________________________, _________.

����� (Town)������������������������������������������ (State)

 

 

Licensee:� _______________________________________________________

���������������� (Signature)

 

Thank you for your interest in adopting a horse from E.P.O.N.A.

Fax to 603-679-1896 or

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

 

Return to General Rescue Adoption Program page

or

Return to Premarin page

PLEASE TYPE YOUR ANSWERS IN,

THEN PRINT AND SIGN.

14.     Transportation.� Licensee shall assume all transportation costs relating to the licensor of the said horse hereunder.

15.     Risk of loss.� Licensee hereby assumes risk of loss or injury to said horse.

16.     Indemnification.� Licensee hereby agrees to indemnify and hold E.P.O.N.A. and its officer, directors, and volunteers harmless from any and all claims, actions, damages, liability, and expense in connection with the loss of life, personal injury and/or damage to property arising out of the use or care of the subject horse.

17.     Freedom from liens.� Licensee agrees to keep said horse free of all liens, encumbrances, charges, and claims, and licensee agrees to E.P.O.N.A. harmless there from.

18.     Arbitration.� Should any unresolved dispute arise between Licensee and E.P.O.N.A., the parties agree to submit the matter to binding arbitration.� The prevailing party shall have the right to recover from the other party all reasonable attorney�s fees and costs.� The said arbitration shall proceed as follows:� each party shall choose one arbitrator, and the two arbitrators so selected will choose a third arbitrator.� The arbitrators shall determine the procedure to be followed in presenting issues.� The decision of two of the three arbitrators in the matter shall be binding upon both parties.

19.     Boarding.� Address and telephone numbers of boarding facility:

 

����� Street Address:� _________________________________________________________________

 

����� City, State, Zip Code:� ____________________________________________________________

 

����� Telephone Numbers:� ____________________________________________________________

 

20.     Veterinarian.� Name, address and telephone number of current veterinarian.

 

����� Veterinarian Name:� ______________________________________________________________

 

����� Street Address:� _________________________________________________________________

 

����� City, State, Zip Code:� ____________________________________________________________

 

����� Telephone Numbers:� _____________________________________________________________