S.B.R.A.

2008 Open Nomination Form

(Required)

 

Please check ONE:

 

_____ RIDER @ $25.00

 

_____ HORSE @ $25.00

(Must complete one for EACH horse that is nominated.)

 

Name: Rider Name (if nominating by Rider)

OR Name of person responsible for work requirements (if nominating by Horse):

 

 

 

Name of Horse: (if nominating by Horse.) Must complete one for EACH horse nominated. Be sure and use this name when entering horse at jackpots.

 

 

 

SBRA Office Use:

Date Received:

Received By:

Please mail to:

Rhonda Stewart

206 South 54th St. West

Muskogee, OK. 74401