Maryland Million Certification Form

Foaling Date*

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Name
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Color
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Sex
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Sire*
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Dam*
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Owner/Breeder Information
Name*
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Farm or Company
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Address
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City
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State
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Zip
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Phone
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Email
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Gentlemen: I accept this offer to make the described horse(s) eligible to participate in the Maryland Million program and agree to be bound by the conditions printed on both sides of this document. I also agree to be bound by all the terms and conditions of this application, whether or not such application is signed. I represent that I am authorized to enter into this agreement on behalf of the owner, or that I am the described owner. In consideration, I have enclosed the nomination fee.
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