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Name:

Address:

E-mail Address:

Phone:

How did you hear about us? Select From List Below Dressage Today Magazine Trail Rider Magazine Western Horseman Horse Illustrated Farrier's Journal Hoofcare & Lameness Internet Link A Friend Hoof Print (NATRC) The Gaited Horse Referred to by Vet Texas Horse Gazette Referred by Farrier Trail Blazer International Arabian Horse Equus Magazine Equine Times Other

What kind of riding do you do? Select From List Below Trail Riding Endurance Riding Competetive Trail Riding Barrel Racing Dressage Jumping Road Trotting Harness Racing Breeding only Reining Cutting Combined Driving Pleasure Driving Ranch Work Show-Western Show-English Field Trials Fox Hunting Other (describe below)

Is your horse lame? No Yes-Tendon Injury Yes-Ring Bone Yes-Ligament Injury Yes-Founder Yes-Arthritic Yes-Stone Bruised Yes-Navicular Yes-Other (describe below)

Are you a farrier? No Yes-Professional Yes-Only do my own

What breed of horses do you own?

Questions or Comments: