HORSE INFORMATION (*M=Mare S=Stallion G=Gelding F=Filly C=Colt) Name Breed Sex* Age Color markings, brand, etc SPECIAL INSTRUCTIONS OR COMMENTS ON HORSE TEMPERAMENT OR CONDITIONS: TACK OR EQUIPMENT TO BE TAKEN: SHIPPING COST AND PAYMENT: Transportation Cost $____________________ Deposit $____________________ (cirle one) CC MO CASH E-CHECK Balance due on Pick-up or delivery $____________________ (mark one) AUTHORITY: I have read this entire document, understand it completely, and agree to be bound by its terms in its entirety. I understand and agree to accept the risks of shipping my horse(s). I authorize veterinarian care at my expense should it be necessary. SIGNATURE (SHIPPER/OWNER/AGENT) _____________________________________________ DATE________________________________________