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 REGISTRATION APPLICATION

(For Paint/Pinto Type / Appaloosa Type / Pintaloosa Type)

International Spotted Horse Registry   
2120 Scotch Hollow Rd., Noel, MO. 64854   
Phone: 866-201-3098 or 417-475-MARE - Email: ishrppa@aol.com   
SECTION 1: COMPLETE INFORMATION ON EQUINE TO BE REGISTERED   
TYPE OR PRINT LEGIBLY - PICTURES TO BE CLEAR & SHARP - CORRECT FEES   

EQUINES NAME:__________________________________ SEX: S____ M____ G____   
   
Horse:__ Pony:__(under 13.2h) Miniature:__(adult inches) Approx Age:__   
   
DOB: MO___Day___Yr___ (if known) Color: Mane__________ Tail___________   
   
COLOR: Brown__Roan__Dun__Grey__Black__Grullo__Chestnut__Bay__Sorrel__   
       Palomino__Buckskin__Perlino__Cremello__Champagne__Other__ 
    
   
(IF APPLICATION FOR "PINTALOOSA"-MARK BOTH PATTERN/MARKINGS TYPE)
 
   
PAINT/PINTO PATTERN: Tobiano___Overo___Tovero___Sabino___
 
APPALOOSA MARKINGS: Blanket__Leopard__Frost__Varnish__Snowflake__   
                    Mottled__Other___________ (check all that applies)   
    (if not sure for above-ISHR will determine from pictures sent)
    
   
        BLUE EYES: ___Y ___N - Right Eye___ Left___ Partial___
 
   
REMARKS: list any unusual markings, scars, brands, and location:   
______________________________________________________________________   
    
Sire:(name/breed if known)____________________________________________   
(if known, color,pattern,reg.#)_______________________________________   
Ancestors (if known or copy of reg. cert.):   
______________________________________________________________________   
  
Dam: (name/breed if known)____________________________________________   
(if known, color,pattern,reg.#)_______________________________________   
Ancestors (if known or copy of reg. cert.):   
______________________________________________________________________   
    
Owner Of Equine______________________________________Phone____________   
Address______________________________________________Email____________   
Amt. Enclosed For Reg.:$__________ - Plus Photos (4 - Four) U.S. FUNDS   
($20.00 as a OR becoming a member) - ($35.00 if no membership wanted)   
======================================================================   
              OFFICE USE ONLY-DO NOT WRITE IN THIS SPACE     
    
ACCEPTED: __Y __N    DATE RECEIVED:__________   ASSIGNED REG.#________   
ASSIGNED ISHR PERSONAL #:______ DISCOUNT APPLIED:__Y __N AMT PD:______   
PINTALOOSA CLASS TYPE ___A ___B ___C   
NOTES:________________________________________________________________   
EASIEST WAY TO PAY BY PAYPAL:  
paypal.me/spottedhorse

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