Futurity Entry - Welsh Pony & Cob Society of America

DEADLINE FOR REGULAR FEES ??? AUGUST 14TH, 2019
DOUBLE FEES IF SUBMITTED AFTER AUGUST 14TH AND BEFORE SEPTEMBER 9TH, 2019
Payment is not part of this form. You must mail a check made out to Connie Moore, 103 North Main, Broken Arrow, OK 74012

Submitter's Name*
First Last
Submitter's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*

Please provide the e-mail you wish to be contacted with if there are any questions on any of the listed ponies.
Halter
Pony Name Age Sex A/B/C/D/H/PB Owner Name Class Number

Please fill in all fields. To create another line for additional ponies simply click the + sign on the right.
Performance
Pony Name A/B/C/D/H/PB Owner Name Class Number

Please fill in all fields. To create another line for additional ponies simply click the + sign on the right.
Fees
Halter $40 * # of Ponies Perf. $20 * # of Classes Office Charge / Owner $15

Pony Name	Age	Sex	A/B/C/D/H/PB	Owner Name	Class Number

Pony Name	A/B/C/D/H/PB	Owner Name	Class Number