I hereby agree as the owner of the above named mare to accept the terms and conditions made by the stud and Ms Leigh Ann Kerr (owner of Electrum) and confirm by signature my intention to send the above named mare to or receive semen for the above named mare to/from ELECTRUM (USA) and enclose £100.00 for the non-returnable booking fee made payable to Ms L A Kerr.
SIGNATURE & DATE ______________________________________________________
Nomination Form and payment to be sent to: Ms L. A. Kerr Pulborough Stud, Blackgate Lane, Pulborough, West Sussex. RH20 1DD
Bank Transfer Option Bank : Barclays Sort Code : 20 06 72 Account name: Ms L A Kerr Acc No. : 7040 2915 Reference: Electrum/(mares name)