THIS SERVICE IS FOR STANDARDBRED HORSES ONLY   
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For a 4 week listing mail $25 U.S. For a 8 week listing mail $40 U.S.
Check, money order or credit card info for each horse to
LaHorse.com  P. O. Box 673 Dayton, Ohio 45449 Credit Card Orders may be Faxed to 937-298-2124

 

Name:
Street Address:
City: State/Province:
Zip/Postal Code: Country:
Telephone: Fax:
Email Address:
Method of Payment: Check or Money Order enclosed Please charge my Credit Card
Credit Card:

Card Number: ---
Expiration Date:
Signature: Date:

 

HORSE NAME
SIRE
DAM
PRICE
PERSON TO CONTACT
DAY NUMBER
EVENING NUMBER
CELL PHONE NUMBER
PAGER NUMBER
FAX NUMBER
EMAIL ADDRESS
LOCATION OF HORSE "STATE"

 

Owners Statement: Optional ( 50 Words or Less )