Your Name:

Farm Name:

 Address

City & State
 
Zip or Postal Code

Home Phone, please include area code 

Barn Phone or Office

Fax

Your Email Address:

____________________________________________________________
Select your Site Size

Please tell us what size site you require:

Stallion Site with Progeny Page (Building Fee: $75.00)  Package A = Up to 4 pages (Building Fee: $125.00) 
 Maintenance due quarterly $37.50 by the 5th of each 1/4        Monthly Maintenance $25.00 due by the 5th of each MO

Package B = Up to 8 pages (Building Fee: $175.00)          Package C = Up to 16 pages (Building Fee:  $350.00)  
Monthly Maintenance $25.00 due by the 5th of each MO        Monthly Maintenance $25.00 due by the 5th of each MO

_____________________________________________________________________
Selecting Site Name Section
Check one or the other
Yes I need my own Domain Name ($40.00 for 2 years)  + Domain Parking for $60.00 Paid yearly   
Domain name 1st Choice
Domain name 2nd Choice

Or

Please create my site name as a sub-domain off arabianquest.com (ie:arabianquest. com/ mysite.htm)   

 My first choice is  http://arabianquest.com/ 
No additional fee as a sub domain      
_________________________________________________________________________
   Selecting Site Style & Theme 

Check box that best describes your personal taste:
Contemporary          Classic             Formal              Victorian        Country & Western      Dessert       

Check Colors you like best:
Red                       Blue                Yellow    Green                  Purple        White     Black

Burgundy            Navy              Orange     Forest                  Lavender   grey        Dk Grey

Check Textures you like best:
Cloth     Marbles     Metals     Gold      Silver     Stone     Florals

Farm Motto or Statement:
 
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Stallion Information Section

Stallion Information #1:
Stallion Name Reg#

  Yes - SCID Clear              LFG               Yes we ship Semen            Yes - IAHA Nominated Sire

Stud Fee Purebreds         Stud Fee Others   Booking Fee

Show Highlights, achievements, descriptive text about stallion,
include disiplines exhibited in:

Stallion Information #2:
Stallion Name Reg#

  Yes - SCID Clear              LFG               Yes we ship Semen            Yes - IAHA Nominated Sire

Stud Fee Purebreds        Stud Fee Others   Booking Fee

Show Highlights, achievements, descriptive text about stallion, 
include disiplines exhibited in:

Stallion Information #3:
Stallion Name Reg#

  Yes - SCID Clear              LFG               Yes we ship Semen            Yes - IAHA Nominated Sire

Stud Fee Purebreds        Stud Fee Others   Booking Fee

Show Highlights, achievements, descriptive text about stallion, 
include disiplines exhibited in:

_________________________________________________________________
Broodmare Information Section

Mare Information #1:
Mare  Name Reg#
Show Highlights, achievements, descriptive text about mare, 
include disiplines exhibited in:



Mare Information #2:
Mare  Name Reg#
Show Highlights, achievements, descriptive text about mare, 
include disiplines exhibited in:


Mare Information #3:
Mare  Name Reg#
Show Highlights, achievements, descriptive text about mare, 
include disiplines exhibited in:


Mare Information #4:
Mare  Name Reg#
Show Highlights, achievements, descriptive text about mare, 
include disiplines exhibited in:


Mare Information #5:
Mare  Name Reg#
Show Highlights, achievements, descriptive text about mare, 
include disiplines exhibited in:


___________________________________________________________________
Sales Horse Information Section

Sales Horse Information A:
Horses  Name Reg#

Yes SCID Clear           Yes - IAHA Sweepstakes Nominated       Sale Price

Mare           Gelding            Stallion

Show Highlights, achievements, descriptive text about horse, 
include disiplines exhibited in:



Sales Horse Information B:
Horses Name  Name Reg#

Yes SCID Clear           Yes - IAHA Sweepstakes Nominated       Sale Price

Mare           Gelding            Stallion

Show Highlights, achievements, descriptive text about horse, 
include disiplines exhibited in:



Sales Horse Information C:
Horses Name Reg#

Yes SCID Clear           Yes - IAHA Sweepstakes Nominated       Sale Price

Mare           Gelding            Stallion

Show Highlights, achievements, descriptive text about horse, 
include disiplines exhibited in:


Sales Horse Information D:
Horses  Name Reg#

Yes SCID Clear           Yes - IAHA Sweepstakes Nominated       Sale Price

Mare           Gelding            Stallion

Show Highlights, achievements, descriptive text about horse, 
include disiplines exhibited in:


Sales Horse Information E:
Horses  Name Reg#

Yes SCID Clear           Yes - IAHA Sweepstakes Nominated     Sale Price

Mare           Gelding            Stallion

Show Highlights, achievements, descriptive text about horse, 
include disiplines exhibited in:

Check Out

Additional Site Comments or special directives:
  
After you submit this form, visit the http://arabianquest.com/webrates page to pay
for your order via PAY PAL, it's safe, fast and secure.  
Site building Fee:                                                         
First Month or Quarter of Maintenance:                    
If applicablable Domain Registration & Parking fee of $100.00 
Total you will be submitting                                       
Thank You for filling out our form, Sincerely, Ann     
Leave checked please

If you have any trouble using this form, 
please e-mail Ann  <Click