North Farm- Home



North Farm Inc.

13701 Sousa Street

North Lawrence, Ohio 44666

Ph: 740-815-3545

Email: dobrien110@

Rebreed Form - 2020

Stallion: ____________________________________________________________

Original Contract Year and Original Mare: _________________________________

Mare and Ownership Information

Mare Name: ___________________________ Registration #: _____________________

Breed Assoc: _________________________

Registered Owner: __________________________________________________

Street: _________________________________ City: ___________________________

State: ________ Country: _________________ Zip Code: ______________________

Email: ___________________________ Phone: _______________________________

A rebreed fee of $300.00 will apply to this breeding for second year rebreeds. $500.00 for third year approved rebreeds. Color Guarantee rebreeds are $300.00 plus ½ the original stud fee.

Fedex Shipping Overnight - $325.00. Same Day via the Airlines – 425.00 On Site pick up - $175.00

Additional fees for Canadian shipments will apply.

A copy of the registration papers must accompany this form if you are switching mares from the original contract.

All fees must be paid in advance before semen is shipped. NO EXCEPTIONS

Mare Owner: _________________________ Date: _______________________

Stallion Owner: ________________________ Date: _______________________

Shipped Semen Information

Mare’s Name: _______________________________Reg#:_________

Address to be shipped to (FedEx)

Name: _________________________________________________

Street Address (No PO Box):________________________________

City, State, Zip: ___________________________________________

Phone: __________________________________________________

Cell Phone: _______________________________________________

Saturday Delivery available at above address: ____ Yes _____ No

If checked no, please provide a Saturday address below

_______________________________________________________________________

* Please note: check the availability of Saturday FedEx delivery

Closest Major Airport Name and City: _______________________

Shipments must be pre-paid with check or credit card

Credit Card Information: * please note a 3.5% Service fee for credit cards

Please charge my Credit Card for all fees incurred in breeding my mare:

Name of Card Holder: _______________________________________________

Billing Statement Address____________________________________________

City ____________________ State _________ Zip Code ____________

Card #: _________________________________ Exp. Date: ________________

3 digit # on back of card: _________

Signature: __________________________________ Date: __________________

North Farm

13701 Sousa Street

North Lawrence, Ohio 44666

740-815-3545

Dobrien110@

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