Request for Certificate with DNA Results

Request for Certificate with DNA Results
The undersigned (print full legal name(s) of owner(s)
as the recorded owner(s) of the Hackney (choose applicable)

horse pony
with the registered name
with AHHS Registration Number
do hereby request a new Certificate of Registration with the DNA case number displayed on the certificate.
Onwer of Record 1 Email
example@example.com
Full Legal Signature of Owner of Record 1 *
Full Legal Signature of Owner of Record 2
Full Legal Signature of Owner of Record 3
Full Legal Signature of Owner of Record 4
Date of Signatures

- Month - Day Year
Date
American Hackney Horse Society

4059 Iron Works Parkway, A-3

Lexington, KY 40511-8462

(859) 255-8694 • ahhscsl@qx.net

www.hackneysociety.com
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