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