Futurity Renomination Form
for horses already
participating in the Futurity
Use this form to renominate horses already in the Futurity.
Please type or print. Fill out and mail this form and all fees to: Peruvian
Futurity, 3095 Burleson-Retta Rd., Burleson, TX 76028 Tel.#
Submit this form on or before May 1, 2004 (or late fees apply, see below)
City, State, Zip:
I wish to Renominate the following
horses that have been previously nominated:
Check S M or G to indicate sex of horse.
Horse #1: Name:
Horse #2: Name:
Horse #3: Name:
Please make all checks payable to
Certification: I hereby certify that I have read, understand and agree to abide by the
Rules and Regulations of the Peruvian Horse Futurity, and I guarantee
that all statements made on this sheet are true.
Taxpayer ID or Social Security #__________________________
This form must be accompanied by
the signed and dated Conditions of Entry form.
More than one form may be used, if necessary.
Any forms received without payment will be returned.