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Approximate or preferred ship date *
Contact Name *
Phone number *
Alternate phone number
Email address
Pick-Up Location *
Delivery Location *
How many horses do you plan to ship *
How would you like to be contacted	By phone By email Either
Have you shipped with us before	Yes No
Horse #1 - name
Horse #1 - type	Gelding Mare Mare in foal Mare with foal Filly Colt Stallion Weanling
Horse #1 - stall size	Stall Stall and a half Box stall
Horse #2 - name
Horse #2 - type	Gelding Mare Mare in foal Mare with foal Filly Colt Stallion Weanling
Horse #2 - stall size	Stall Stall and a half Box stall
Charter entire van	Yes No
Any additional tack or equipment, if so describe
Special handling instructions
Comments or Questions
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