Name: * Email: *

Address: City: State:

Country: Zip Code:

Telephone:

1. I am interested in the following areas: Racing Pinhooking Breeding

2. I would like to invest:
$5,000 to $20,000
$20,000 to $50,000
$50,000 to $100,000
$100,000 +

3. I plan to invest in:
Weanlings
Yearlings
Two year olds
Three year olds and above

4. I prefer: Fillies Colts Geldings No Preference

5. I want no less than:
1%-5% interest
5%-10% interest
10%-25% interest
25%-50% interest
50%-75% interest
75%-100% interest

6. I would like to race in: East South Midwest West Canada

7. I prefer:
New York Breds
Florida Breds
Kentucky Breds
Maryland Breds
Canadian Breds
Other

8. In the following area please describe any experience you may have, or if you have any comments: