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Approximate or preferred ship date? *
Contact name: *
Contact phone number: *
Alternate phone number:
Email address:
Pick-Up Location: *
Delivery Location: *
How many horses do you plan to ship? *
Would you like to be contacted by phone? Yes No
Would you like to be contacted by email? Yes No
Have you shipped with us before? Yes No
Horse #1 – Name?
Horse #1 - gelding, mare, mare in foal, mare with foal, filly, colt, stallion or weanling?
Horse #1 - Stall Size - stall, stall and a half or box stall?
Horse #2 – Name?
Horse #2 - gelding, mare, mare in foal, mare with foal, filly, colt, stallion or weanling?
Horse #2 - Stall Size - stall, stall and a half or box stall?
Charter entire van? Yes No
Any additional tack or equipment? If so describe.
Special Handling Instructions:
Comments or Questions:
How did you hear about us?


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