I, hereby appoint:

Agent Name:

to be my authorised agent to act for me in all matters relating to the purchase of horses at the selected sales event, to be conducted by New Zealand Bloodstock, and to to complete all necessary documentation in furtherance of any purchase at such sales made by him/her on my behalf.

Sales Event

Total Sum of intended purchases:

I hereby limit my agent to a total sum as recorded below which they may expend on such purchases:

Contact Details

Salutation

First Name:

Middle Name:

Last Name:

Mobile:

Only international format (plus sign (+) followed by the country code, area code, and phone number, no spaces) is accepted.

Email:

Date of Birth:

Occupation:

I understand and agree to be bound by the Conditions of Sale and I agree to pay for all purchases made by my agent (subject to any limitation imposed by me as specified above). This agency is revocable only in writing, and shall only take effect from the time and date upon which New Zealand Bloodstock Ltd receive notice of such revocation.

I/we acknowledge that I/we have read and agree to be bound by the Conditions of Sale