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PNW Equine Transport Waiver and Release of Liability

This Agreement ("Agreement") is made and entered into by and between:

FIRST NAME

LAST NAME

COMPANY/FARM

Email Address

Cell Number

Address STREET

Address CITY

Address PROVINE/STATE

Address POSTAL/ZIP

FULL PICKUP ADDRESS AND CONTACT IF DIFFERENT THAN ABOVE:

FULL DELIVERY ADDRESS AND CONTACT IF DIFFERENT THAN ABOVE:

STALL SIZE

Regular ½ boxstall Full Boxstal

HORSE NAME, AGE, SEX, OTHER IMPORTANT INFO

PAYMENT METHOD (PAYMENT IS REQUIRED IN FULL PRIOR TO PICK UP. Invoice will be sent day before shipping PLEASE NOTE: ALL CROSS BOARDER SHIPMENTS, CUSTOMER/SHIPPER IS REQUIRED TO PREPARE ALL NECESSARY DOCUMENTS TO MEET CBSA REQUIREMENTS IN ADVANCE OF SHIPPING

Date

Office Use Only: