WTC

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Name

Farm Name

E-mail Address

Phone Number

FAX Number

Mailing Address 1

Mailing Address 2

Mailing Address City

Mailing Address State

Mailing Address ZIP

Help us identify your interests:

	How would you describe your interest in Thoroughbred horses? (Check all that apply.)
		Horse-owner Horse breeder Trainer Thoroughbred racing enthusiast Other/Not listed above. Please Specify:
	For Mare Owners...
		Number of horses currently owned Number of mares bred each year (on average)
	For Stallion Owners...
		Number of stallions standing at stud
	For Racehorse Owners...
		Number of horses currently in race training Number of horses currently in lay-up