M A A H A
   2 0 0 7
      HIGH SCORE PROGRAM

NOMINATION FORM

     _____________________________________________________________________
      ENTRY FEE: $10 PER HORSE

      Name of Horse______________________________________________________________ 

      Registration No._______________   Date Foaled_______ Age_______Sex_______

      Sire________________________________Dam___________________________

      DIVISIONS FEE: $8 PER HORSE

      1.  ____________________________________ 4. ____________________________________

      2.  ____________________________________ 5. ____________________________________

      3.  ____________________________________ 6. ____________________________________

      Name_____________________________________Farm__________________

      Address_____________________________________________________________________

      Phone______________________________EMAIL_________________________

      Owner/Leasee Signature*___________________________________________________
              *My signature indicates that I agree to abide by the rules of the MAAHA High Score Program

      YOUTH DIVISION: $10 PER YOUTH AND $8 PER HORSE

      Name __________________________________Date of Birth_______________

HIGH SCORE APPLICATION CLOSING DATE:  June 1, 2007

Return Application and Payment to:


DEBBIE SHINN, CHAIRPERSON
1718 WILLIAMSBURG PLACE * CLEMENTON, NJ  08021
(856)782-1956

MAKE CHECKS PAYABLE TO:MAAHA