Please complete as many of these details as possible. As a minimum the fields marked must be completed.

Name: Mr Mrs Ms Miss Dr  

Address line 1:
Address line 2:
City/Town:  
County:
Post Code:  

Home Tel:
Work Tel:
Mobile Tel:
Fax No:
Email:

Are you already a client of Stable Close Equine Practice? Yes No

The person selling the horse is the Owner Agent Dealer Don't Know

Name: Mr Mrs Ms Miss Dr  

Address line 1:
Address line 2:
City/Town:
County:
Post Code:

Home Tel:
Work Tel:
Mobile Tel:
Fax No:
Email:

Please note that whilst we have not marked any particular phone number as a required field, you should include at least one telephone number for the vendor as we will need to contact them to confirm details and timing of the vetting.

Is the person selling the horse a client of Stable Close Equine Practice? Don't Know Yes No

When would you like the vetting to be carried out?
We will do what we can to accommodate your request.

Would you like to be present at the time of the vetting? Yes No Possibly

Where is the horse to be vetted? Purchaser's Premises Seller's Premises OTHER Don't Know Yet

If OTHER then please complete these details below telling us where the horse will be:

Address line 1:
Address line 2:
City/Town:
County:
Post Code:
Tel at Yard:

Are there any additional tests that you require?

We require the following facilities for a pre-purchase examination.

Is there a Dark Stable? Don't Know No Yes

Is there a hard, straight, flat area for trot up? Don't Know No Yes

Is there an area for exercise? Don't Know No Yes

If the horse is backed, is there someone who will be able to ride it? Don't Know No Yes

Name:
Age:
Sex:
Type:
Colour:
Approx Height:

Expected Use:

Do you have any other comments about the horse or the vetting? This might include:

• Concerns about the horse
• Any veterinary history you know about the horse
• Any competition results you know about the horse
• Any directions that may help us find the yard where the horse will be vetted

If you have not used Stable Close Equine Practice before, how did you find out about us?

Please tick this box to confirm that you are the potential purchaser