Illinois Department of Agriculture

STAKE NOMINATION FORM

DUE FEBRUARY 15th
Cardinal/Violet 3YO-$200

DUE MARCH 15th
County Fairs -$400
(2 YO & 3 YO)

DUE APRIL 15th
Cardinal/Violet 2YO- $150
IL STATE Fair/Du Quoin -$300
(2 YO & 3 YO)

DUE May 15th
County Fairs Supplement -$800 (Only if $400 March Payment not made)

PLEASE INCLUDE ALL INFORMATION

Event/Race Name of Horse Gait Sex Age Sire Dam