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Horse Name
Breed
Age
Sex
Stallion
Mare
Filly
Colt
Gelding
Ridgling
Use
Select
Racing
Breeding
Foal
Yearling
Hunter
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Value
Coverage Desired
Mortality
Major Medical/Surgical
$7,500 Limit
$10,000 Limit
Loss of Use
Surgical Only
Colic Surgery
Medical/Surgical Colic
Barrenness
Last Breeding Date:
Name of Stallion:
3 Year Produce Record
Select Year
2004
2005
2006
2007
Select Year
2004
2005
2006
2007
Select Year
2004
2005
2006
2007
Stallion Permanent Disability
Restricted/Limited Perils
Prospective Foal
Last Breeding Date:
Name of Stallion:
Stud Fee:
3 Year Produce Record
Select Year
2004
2005
2006
2007
Select Year
2004
2005
2006
2007
Select Year
2004
2005
2006
2007
Horse 2
Last Breeding Date:
Name of Stallion:
Stud Fee:
3 Year Produce Record
Select Year
2004
2005
2006
2007
Select Year
2004
2005
2006
2007
Select Year
2004
2005
2006
2007
Nicholson Insurance Agency, Inc., 2300 Regency Road, Lexington, KY 40503
Phone: 859-224-7080 or 1-877-444-2365, Fax: 859-224-8779
Copyright © 2007. Nicholson Insurance Agency, Inc. All Rights Reserved.
