CHA Region 10 Conference “A Day of Equine Education”
September 21, 2013
Stall Reservation Form
Mail In registration must be postmarked by 9/06/14or hand delivered by 9/13/14.
Name- ___________________________________________________________________
Address- _________________________________________________________________
_________________________________________________________________________
Phone # __________________________ Email- __________________________________ May we add you to our email list? Yes_____ No_____
Arrival Date- ____________________________ Departure Date _____________________________
FACILITY USE FEE (tie to trailer only) $15.00 per horse per day-
# of horses ______ X $15.00 _______X # days = ___________
STALLS (in addition to facility use fees) –
Day stall- Pipe- No cover, no water $10.00 # stalls _____X # days_____ X $10.00 = ___________
Mare Motel- 1/2 covered pipe $15.00 # stalls _____X # days_______ X $15.00 = ____________
Box Stall w/ run $20.00 # stalls _____X # days________ X $20.00 = ____________
TOTAL STALL & FACILITY USE FEES $ ____________
Make checks for stalls and facility use fees payable to Pepperglen Farms.
NO REFUNDS OF ANY FEES ONCE YOUR RESERVATION IS MADE. NO EXCEPTIONS!