Russian Budyonny Stallion: "Deych" • Pedigree • Breeding • Horse

Booking Sheet and Mare Information

To book a breeding with Deych, please fill out this form online or print the form and either mail or fax it to:
Stockton Farm/Sekur-Grip, Inc.
P. O. Box 1775
Southern Pines, NC 28388 USA
910-695-9962
910-695-9013 (fax)
916-718-5880 (cell)

Please keep in mind that this is NOT a SECURE form. If submitting the form online, do not include your credit card information; please phone us at 910-695-9962 or 916.718.5880 (cell)
Thank you.

General Information -(please print if faxed or mailed in, thanks)
Owner's Name
Address
City
State		Zip
Telephone		Fax
Email
Select Payment Method: (Click on one choice)
Card number: Do not key in if submitting form online		Expiration date:
Shipping Address: (If different from above)
City:
State:		Zip:
Telephone:		Fax:
Closest Airport:
Closest Federal Express Office:
Federal Express number: (if applicable)
Will they deliver on Saturday?	Yes No

Mare's Name:
Age:		Breed:
Registration Number:
Type of Training/Discipline:

Breeding Status
Maiden:
Barren (explain):

In Foal:		Last Breeding Date:
Sire:

Foal At Side:		Date Foaled:
Sex of Foal:

History
Number Previous Foals
Previous Breeding/Foaling problems: (explain specifically)

Any behavioral problems?
Explain:

Any Embryonic Loss?		Last Estrus:
Cycle Length:
Culture Date: (must have been in last 45 days prior to breeding)		Result:
Cytology Date:		Result:
Biopsy Date		Result:
On Progesterone?	Yes No	Caslick?	Yes No
Other:

Veterinary Information
Name of licensed veterinarian in charge of breeding:
Address:
City:
State:		Zip:
Telephone:		Fax:

When returning your contract, please include a picture of the mare, if possible, and a copy of the registration papers (if registered) for our records.

About the Budyonny || Deych's Pedigree || Breeding Information

Russian Budyonnys for Sale || Back To Home || Photo Gallery


Inquiries: Stockton Farm P. O. Box 1775 Southern Pines, NC 28388 USA Phone: 910-695-9962 Fax: 910-695-9013 Cell: 916-718-5880 sidleyp@earthlink.net