Tennessee Valley Appaloosa Horse Club, Inc.
2004 "Volunteer Jubilee"

PRE REGISTRATION FORM

Please complete one form for each horse entered.  The Owner's name and ApHC membership number are required for each horse.   All blanks need to be completed. Thanks very much.

Horse's Name:________________________________________________________________________________________

Horse's Registration #___________________________________Year Foaled____________________Sex_____________

Owner's Name____________________________________________________________ApHC#______________________

Address_____________________________________________________________________________________________

City___________________________________State________________Zip____________Phone(           )_________________

ADDITIONAL EXHIBITOR INFO

Exhibitor's Name____________________________________________________________ApHC#_______________________

Address_______________________________________________________________________________________________

City__________________________________State________________Zip______________Phone(            )_________________

Exhibitor's Name_____________________________________________________________ApHC#_______________________

Address_______________________________________________________________________________________________

City_________________________________State________________Zip______________Phone(            )__________________

Exhibitor's Name_____________________________________________________________ApHC#_______________________

Address________________________________________________________________________________________________

City________________________________State_________________Zip______________Phone(            )__________________

Number of Stalls Needed__________           ($40.00 before 10 April 2004; $45.00 after the 10th)
Please send this form with the stall prepayment payable to:
                                                                                            Ralph Wilson, Chair of Breed Show
                                                                                            299 Pumpkin Bloom Lane
                                                                                            Greeneville, TN 37743

If you have any questions please contact:      Ralph Wilson- 423-636-9844, dlilbitfarms@aol.com  
                                                                         

If you would like to recieve future show info via email. please provide your email address below:

__________________________________________________________________________________

Thanks so much and look forward to seeing you at the "Volunteer Jubilee" !!!!