Please provide the following contact information:

Name
Street address
Address (cont.)
City
State
Zip
Work Phone
Home Phone
FAX
E-mail

Select any of the following areas for more information:

Managing
Private Sales
Accounting
Partnerships
Second Careers for Your Race Horse
Other

Specific questions or areas of interest:

Please provide the following horse racing experience information:

Do you currently own or have an interest in a race horse? If so:

How many?
Are you in a partnership?	Yes No
Who is your trainer(s)?
Where do you race?
How did you obtain the horse(s)?
Do you breed your horses?
Are you retiring a race horse?

Are you interested in getting into the horse racing? If so:

Are you considering a private sale?	Yes No
Are you considering a Claiming?	Yes No
Are you considering a partnership?	Yes No
Are you looking for a Trainer?	Yes No
Are you looking for a farm?	Yes No