CONSIGNMENT FORM

Jason and Jennifer Lewis, P. O. Box 2035, Swainsboro, Georgia 30401-2035

Home (478) 237-8476 | Cell -Jennifer (478) 299-3562 | Cell -Jason  (478) 299-3561

Email: goldenacresminis@yahoo.com

Submit separate form for each horse consigned/

**Negative Coggins within 12 months and Health Certificate within 30 days required for all equine**

(Multiple animals may be listed on same health certificate, but a separate copy is needed for each animal)

CLICK HERE TO RETURN TO GOLDEN ACRES FARM

CONSIGNOR INFORMATION:

Please enter your name


Phone number


Farm name


Mailing address


City


State


Zip


Please enter your e-mail address

HORSE INFORMATION:   Please mail a copy of the registration papers to the above address.

Horses name


Registry & Number


Horses sex


Horses color


Horses date of birth


Horses Sire


    Sires Registry & Number 
    Sires height                      


Horses Dam

     Dams Registry & number
     Dams height                    

Comments: Please list any relevant information on your horse to be printed in the catalog. We reserve the right to edit any comments due to limited space in the catalog.
(All guarantees are strictly between the consignor and the buyer.)

Type name as Legal Signature:  Date:

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