Genetic Test Application

INSTRUCTIONS:

Please complete the form below completely before you Submit it—we need information on the horse and its owner.
If your horse has already been DNA tested with the ATA, it will NOT be necessary to submit a new hair sample – we can use the sample currently on file. If you don’t know, don’t worry; we will research it and let you know.

Genetic Test Application

Horse Information

Registered Name of Horse:

Registration Number:

Sire Name:

Owner/Agent Information

Name:

Phone:

Email:

Address:

Address:

Address:

Address:

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

ATA Member?

Yes

No

Notice:

* I understand and agree that by selecting Submit Application below constitutes an electronic signature for the individual designated in Owner/Agent Name.

Payment:

Please select one of the following payment forms:

Please invoice me.

I will call ATA with a credit card number.

I will mail a check.

Captcha

Mail checks to:

The American Trakehner Association
PO Box 1259
Southern Pines, NC 28388

(386) 776-1269
[email protected]

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Founded in 1974, the ATA has been the only Trakehner Verband-affiliated association serving North American Trakehner breeders and enthusiasts for the last 50 years.

Contact Information

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