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Horse's Name

Tom Powers Futurity Stakes Sale Yearlings and Two Year Olds

June 18, 2011 · Berrien Springs, Michigan

Final Date for Consideration · Monday ­ April 25, 2011

Location: BERRIEN COUNTY FAIRGROUNDS · Berrien Springs, Michigan

Select Yearling Session: $850/horse Select Two Year Old Session: $850/horse Commission: 8% of last bid called in ring SELL OR NO SALE New Halters Provided to All Buyers (deducted from sales proceeds) Quality Photos: $25 per entry for photos used in advertising, sale catalog or website Return: · Completed Sale Contract for each horse · Original Registration Certificate · Signed Transfer · Breeder's Certificate · Video - Must be received at least 3 weeks prior to the sale to be used during sale

· Entry Fee: $850/ must accompany entry blank (NO deductions out of sale proceeds for entries) REQUIRED: · Original Coggins - Dated within 180 days (6 months) · Health Certificate - Dated within 25 days

· NO COPIES WILL BE ACCEPTED · All horses will be microchipped for identification purposes. · Only originally consigned horses will be allowed to compete for purse · No substitutions

ALAN PARKER AUCTIONEERS · 4411 E Knights Griffin Rd., Plant City, FL 33565 · Tel: 813.719.1445 · [email protected] · www.AlanParkerAuctions.com

Horse's Name

Tom Powers Futurity Stakes Sale

June 18, 2011 · Berrien Springs, Michigan

C O N T R A C T

Deadline Entry - Monday, April 25, 2011

Consignor: Owner: Address: City, State, Zip Email Address: (If using agent - must fill out both sections) Agent: Address: City, State, Zip Email Address: Home Phone# Cell Phone# Fax# Work #

·

Berrien Springs, Michigan

r Owner

Cell Phone# Fax# Work #

r Agent

Home Phone#

Checks are made payable to current owner, unless authorized by current owner to do otherwise.

Check Session:

r r

Select Yearling Session Entry Fee: $850 Two Year Old Session Entry Fee: $850

ALAN PARKER AUCTIONEERS · 4411 E Knights Griffin Rd., Plant City, FL 33565 · Tel: 813.719.1445 · [email protected] · www.AlanParkerAuctions.com

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Horse's Name

Registration# Breed:

Tom Powers Futurity Stakes Sale

June 18, 2011 · Berrien Springs, Michigan

r AQHA

r APHA

Color:

r ApHC r

Dam: Dam Reg#: Mare

Foaling Date Sire: Sire Reg #:

___ /____ /_____

r Stallion r Gelding

Owner' Statement s

as you want it to appear in the catalog. Indicate if this horse &/or sire/dam has any show &/or produce records in AQHA, APHA, ApHC, PHBA, NSBA, NCHC, NRHA, etc. Especially indicate all Futurities, State or other Association award, level of training, size, appearance, potential, etc. This is our Sales Pitch to Buyers! Attach additional Owner's Statement to this form if necessary. THIS SECTION MUST BE COMPLETED FOR CATALOG RESEARCH! Errors and Omissions are the Owner/Consignor's responsibility.

(Size:_______________Hands)

Nominations:

r AQHA Inc. Fund r APHA Breeder's Trust r ApHC Breeder's Trust r ApHC Breeder's Trust

Other: Foal in utero eligible for:

r APHA Gelding Plus r Tom Powers Futurity

Must Complete All Health Questions to be Considered for Entry: ( Please, Circle Yes or No below) Vision Impaired? Yes / No Nerved, Foundered, Navicular Disease? Yes / No Parrot Mouth? Yes / No Cryptorchid/Ridgling? Yes / No Has horse had any Joint or Abdominal Surgery? Yes / No

ALAN PARKER AUCTIONEERS · 4411 E Knights Griffin Rd., Plant City, FL 33565 · Tel: 813.719.1445 · [email protected] · www.AlanParkerAuctions.com

HYPP Tested? Yes / No Results:

r N/N r N/H r H/H

( Proof Must Accompany Entry)

Is Horse on any Medication? Yes / No Explain:

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Horse's Name

For all Mares 18 Months or older: / No In Foal? Yes

Tom Powers Futurity Stakes Sale

June 18, 2011 · Berrien Springs, Michigan

Bred To:______________________________Reg#___________________LBD____/____/_____

r AQHA r APHA r ApHC

***Breeder's Certificate Required with Entry for ANY Pregnant Broodmare or Foal At Side

For all two year olds and older: Current Trainer's Name If possible, Stall This Horse With

This contract and the horse consigned is true and correct. Owner further acknowledges that the accuracy of all information printed in the sale catalog is owner's responsibility, and agrees to be bound to all parts of this consignment contract as well as to all the Conditions of Sale published in the official sale catalog, and agrees that this agreement is binding on and inures to the benefit of all heirs, successors or assigns. I HAVE READ ALL THREE (3) PAGES OF THIS CONTRACT AND THE CONDITIONS OF SALE IN THE SALE CATALOG, FULLY UNDERSTAND AND AGREE TO THE SAME, INCLUDING MY INDEMNITY OBLIGATIONS AND AGREE THAT THIS HORSE WILL APPEAR AT THE SALE AND I WILL BE RESPONSIBLE FOR ALL APPLICABLE FEES IF THE HORSE SELLS AS A RESULT OF THIS SALE, AND ALL NO SALE FEES IF HE DOES NOT SELL. I UNDERSTAND THAT MY HORSE WILL BE MICROCHIPPED FOR IDENTIFICATION AND THAT ONLY ORIGINAL MICROCHIPPED HORSES WILL BE ELIGIBLE TO SHOW. I ALSO UNDERSTAND THAT THERE WILL BE NO SUBSTITUTIONS ALLOWED.

Owner Signature

(An original, copy or facsimile of Owner's Signature shall be valid for purposes of this contract.)

Date

The Tom Powers Triple Challenge Futurity

9675 Alden Nash Avenue · Alto, MI 49302 Phone: 800.609.5333 · Fax: 616.868.0888 HYPERLINK mail to: [email protected]

Send Sale Entries To:

ANYONE CAN CONSIGN ANYONE CAN TRAIN ANYONE CAN SHOW

ALAN PARKER AUCTIONEERS · 4411 E Knights Griffin Rd., Plant City, FL 33565 · Tel: 813.719.1445 · [email protected] · www.AlanParkerAuctions.com

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