Service Contract Terms and Conditions

THIS FORM CAN BE SENT VIA EMAIL after completion or can be printed out, filled in and faxed or sent by regular mail

You can book our stallions online or by telephone.

Please fill in the form below to contact Meridian Farms online.
If you prefer to contact Meridian Farms by telephone please call:

In Western Canada:
Blair Taylor (403) 277-0880 or Terry McIsaac (403) 601-2285.

In the Maritimes:
Ron Gass (902) 566-2548 or Brian Andrew (902) 368-2612.

We will promptly reply to arrange a booking.

Mare's General Information:

Stallion Booked To Stallion? Ameripan Gigolo Camystic Brandon's Cowboy Fit For Life Northern Baily N Xample SS Sand Dollar PJ's Nabby Service Fee: + GST

Name of Mare Tattoo#

Colour Year Foaled

Markings (include freeze brand):


Mare's Pedigree Information:

Sire of Mare:

Dam of Mare:

Sire of Dam:

Mares Race Record:

Trot Pace Earnings

Owner Information:

Name(If more than one, name one representative for billing and correspondence)


Home Phone: ( )

Business Phone: ( )

Fax Number: ( )

EMail:

Address:

City:

Prov. / State:

Postal Code / Zip:

Mare's Breeding Record:

Maiden mare? yes no Select Item

Has the mare ever had a reproductive tract infection, a difficulty foaling or any other breeding problem? If so, please describe in the box below...



Name of stallion bred-to last season:


In Foal? yes no Select Item

Date last bred:

If mare is in foal, due date is:

If mare has already foaled, date of foaling was:

If mare was not bred last year, the reason is maiden not bred Select Item
or other:

Name of stallion bred-to two seasons ago:
Result: colt filly Select Item aborted barren twins

Name of stallion bred-to three seasons ago:
Result: colt filly Select Item aborted barren twins

Anticipated or preferred date/time of breeding:

SEMEN TRANSPORTATION REQUESTED?
(if yes, check box and complete the following:)

Veterinarian who will be performing mare preparation:


Address:

Phone:

How many hours of transportation are required from Meridian Farms to mare location for insemination? hours.

Air Flight Requested? Yes No Shipping Address

Recievers Phone Number:

How will the semen be transported?
Equi-pak Equitainer Equine Express II


I hereby apply, based on the information supplied above and the conditions above, for a booking to the above named stallion for this mare, and if such booking is approved by Meridian Farms, it shall become a contract between us.

Name of Owner:
Date: