Please fill out the following fields to receive stallion service certificates. Be sure to indicate
the year your mare was bred, not the year of the resulting foal.

Mare Name:

Stallion Bred To:

Breeding Year:

Mare Name:
 		Stallion Bred To:
 Breeding Year:
Mare Name:
 		Stallion Bred To:
 Breeding Year:

Please provide your contact information in case
we need to reach you regarding your service certificates.

Your Name:

Address:

City, State, Zip:

Phone Number:

Method of Release:
 		Email:
 

Valor Farm • P.O. Box 966 • Pilot Point, TX 76258
(940) 686-5552 Phone • (940) 686-2179 Fax