| Name: * |
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| Barn/Stable Name: |
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| Address: * |
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| Cross Streets: |
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| City: * |
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| Zip Code: * |
(5 digits) |
| State: |
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| Daytime Phone: * |
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| Evening Phone: |
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| Email: |
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| Number of Horses: * |
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Description of the horse/s
(breed, height, approximate weight): |
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Discipline
(Hunter, Jumper, Dressage, Reining, etc.): |
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Does the horse have any special issues
or past problems
(with feet or overall health)?: |
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| Days you are available for appointments: |
Monday |
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Tuesday |
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Wednesday |
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Thursday |
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Friday |
Time of Availability-
Morning and/or Afternoon: |
Morning |
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Afternoon |
How did you hear about
Performance Farrier Services
and/or Chris Thiem, CF? |
Word of Mouth |
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AFA Association |
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Internet Search |
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Other |
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