(Please print out this page.)
Nomination Form for the
Nebraska Breeders Incentive
Nomination Fee: $250 (per year).
Breeding Year: 2011
Breeder __________________________________________________
(Must be EXACTLY as it will appear on the horse's papers!)
Please list any contact info you would like displayed on the website -
Contact person _____________________________________________
Ranch name _______________________________________________
City ______________________________________________________
Phone numbers ____________________________________________
E-Mail ____________________________________________________
Website __________________________________________________
Send this form, and a check made out to "NBI" to:
NBI
C/O Jacki Wilkins
1124 R St
Geneva, NE 68361