NOMINATION FORM
	Name	Sex	Sire	Dam	DOB
	Name:
	Address:
	Tel No:		E Mail:
	Cheques payable to: TREGARON TROTTING LTD
	Form and payment to:	Gwenan Thomas, Talgrwn Mawr, Llanwnnen
		Lampeter, Ceredigion SA48 7LJ