THE PYRAMID SOCIETY'S EGYPTIAN EVENT

 -FOR OFFICE USE ONLY-
2005 EXTENDED SPECIALTY NOMINATION Extended Spec.#:________
for 3- and 4-year-old Straight Egyptian horses Member#:_______________
 
 

Nominations close December 31, 2004
A (4) generation pedigree must be included with all first-time nominations.
Please complete entire form and mail with pedigree (if required), along with your payment. 
Make copies as needed.
 

Please note: Only Straight Egyptian horses are eligible for Extended Specialty nomination.
 
HORSE OWNER:     HORSE NAME:  
FARM NAME:     REG. #:  

BIRTH DATE:

  
ADDRESS:     SEX:   STALLION     MARE
CITY:      
STATE:  

ZIP CODE:

     SIRE'S NAME:  
    SIRE'S REG. #:  
PHONE (daytime): (       )      
PHONE (evening): (       )     DAM'S NAME:  
FAX: (       )     DAM'S REG. #:  
E-MAIL:     FED. TAX ID/ SS #:  
 
OWNER'S SIGNATURE:  

DATE:

  

*

 AMOUNT ENCLOSED:   CHECK#:   or VISA/MC/AMEX:  

EXPIRY:

  
CARDHOLDER'S NAME:  
 
       

*

NOMINATION FEE:

a)

 $100.00 for a horse who retained current eligibility in the Futurity or Extended
   

 

 Specialty Program last year; please include copy of Futurity/Ext. Spec.
   

 

 confirmation.
   

b)

 $200.00 otherwise.  Please include 4-generation pedigree.
       
Mail form and payment to: The Pyramid Society CURRENT MEMBERSHIP IN
  P.O. Box 11941, Lexington, KY 40579 THE PYRAMID SOCIETY
  Phone: (859) 231-0771   Fax: (859) 255-4810 IS REQUIRED