NEOHA Horse Nomination Application

     Date:_____________       Phone: (_______) _____________________________

     Name of Horse: ________________________________________________________

     _______________________________________________________________________

     Breed: ________________________________________________________________

     Name of Owner: ________________________________________________________

     Address: ______________________________________________________________

     City: _________________________________ State: _____ Zip: _____________

     Points for year awards start January 1st and end December 31st of the year paid.

     Points are tabulated from the time the nomination fee is paid.

     Nomination fee:  $15.00 per horse.

     Make checks payable to Dusty Boots Riding Club, Inc. 
     Mail to:  P.O. Box 875, Ashtabula, Ohio  44005-0875