Peruvian Paso Horse Registry of North America
PPHRNA FORM FOR RECORDING A RANCH or CORPORATION NAME
NAME OF RANCH or CORPORATION: [ ] CHECK HERE IF HORSE(S) TO BE REGISTERED TO RANCH/CORP NAME ___________________________________________________________________________ ADDRESS: ___________________________________________________________________________ PHONE: ___________________________________________________________________________ NAME(S) OF OWNERS OF ABOVE RANCH OR CORPORATION: ________________________________ ___________________________________ Print Name Signature ________________________________ ___________________________________ Print Name Signature ________________________________ ___________________________________ Print Name Signature ________________________________ ___________________________________ Print Name Signature If someone other than an owner of the above named ranch or corporation is authorized to sign documents with the PPHRNA for that entity, please be sure that an Authorization of Agent form is on file with the PPHRNA office. Agents (non-owners) should NOT be included on this form. Date: _________________________________________________________PPHRNA * 3077 Wiljan Court, Ste. A, Santa Rosa, CA 95407 * (707) 579-4394