Mail In Registration Form

Mail-In Registration Request Form

Please complete one form per foal/youngstock to request Westfalen Registration through the mail, offered in 2020 to breeders affected by Covid-19 disruptions. Paperwork will either be Mailed or Emailed to you for completion by your veterinarian, depending on which option you choose below.

Mail Options

Please Mail my Paperwork and a Westfalen issued Microchip Please Email my Paperwork for me to print - My vet will use his/her own 15-digit ISO compliant Microchip Please Email my Paperwork - my foal/youngster is already Microchipped

Please select only one option

Owner Name

Address

City

State/Province

Zip / Postal Code

Country

Farm Name

Phone #

No spaces or hypens.

Email

Breeder Name / Address (if different from owner)

Breeder is the person who owned or leased the mare at the time of conception

Name/Address to Mail Registration Paperwork to (if different from above)

Leave blank if same as owner above

Foal/Youngstock Name (if named)

Breeding Date/s

Date of Birth

Gender

Color

Sire Registered Name

Sire Breed

Sire Reg # (if known)

Dam Registered Name

Dam Breed

Dam Reg # (if known)

Dam Mare Book Status

Breeding Method

Dam’s Registration Papers

Optional - please upload a copy of dam’s registration papers if she’s not already in the Westfalen books

Breeding Certificate

Optional - if you don’t have your breeding cert yet you may email it later. We accept Breeding Certificates on other registry/farm forms as well

If Embryo Transfer Please Complete the Following Information about the Recipient Mare:

Recipient Mare Name

Breed

Reg # or ID

Year of Birth

Color

ET Facility/Veterinarian

Upload Photos (optional - you may also email photos to registration@westfalenverband.com)

Photo 1

Front/Head showing all markings

Photo 2

Left Side showing all markings

Photo 3

Right Side showing all markings

Photo 4

Rear showing all markings

DNA Test Options

Send me a DNA kit for Parentage Verification ($65) Both DNA Parentage and WFFS Carrier Status ($100) DNA Parentage Verification is already complete

Please Select One DNA Test Option.

Method of Payment for DNA

Paypal Credit Card Mail in Check, Cash, Moneyorder

Select a Payment Option

Select 'Pay Now' if you wish to pay by Payal or Credit Card; Select ‘Pay Later' if you wish to mail in a Check, Cash, or Moneyorder, or if you are completing DNA at a later time.

Westfalen Verband NA • P.O. Box 429 • Murdo, SD 57559 • phone: SD Office: 605.669.2200 • SD Fax: 605.734.8060 • Email: registration@westfalenverband.com • Website: www.westfalenverband.com Contact us with any questions