National Roll of Merit Entry Form

Personal Details

Owner's Name *

Email *

Phone Number *

Address 1 *

Address 2

Suburb/City *

State *

Postcode *

Breeder

Animal Details

R.O.M Category * Working Andalusian Halter Open Halter Progeny

Name of Horse *

Registration Number *

Sex * Male Female

Full Name of Dam *

Full Name of Sire *

ENTRY FEE IN ROM IS $50.00 PER SECTION

(Working/Andalusian Halter/ Open Halter/ Progeny)

$50.00 for Open Halter Section OR $90.00 for both Andalusian & Open Halter.