Form

Stallion Services Application
This Application Schedule forms part of the respective Stallion Breeding Agreement referenced below.

APPLICANT INFORMATION
Enter Mare Owner/Breeder Name and Company/Business Name and ABN (if applicable) (the "Mare Owner").

First name*

Last name*

Company name and ABN

Mobile phone number*

Email*

Postal address*

Suburb*

State*

Post code*

MARE INFORMATION
The Mare Owner/Breeder agrees to breed the mare named below to the stallion(s) selected in this Application Schedule.

Mare Name & Q No.*

We require the mare's Q no. if you wish for a AQHA Breeding Return to be lodged at the conclusion of the season

AQHA Certificate Of Registration

If your mare is registered with the AQHA attach a copy of Certificate of Registration

Mare(s) Age*

Enter the mares age or year of birth

Mare foaling history*

The no. of foals delivered by this mare in the past 4 years

Multiple Mares

If breeding multiple mares enter their details, including age and foaling history

Breeding Season*

Which breeding season does your booking relate

Service Type (AI or ET)*

You MUST nominate the Type of Service

Breeding Facility

Please select from our preferred list of Veterinary Clinics that you propose to engage for the service

Other Breeding Facility

If your Veterinarian isn't on the list adjacent please enter details

IMPORTANT: Pursuant to the Stallion Breeding Agreement, the Management Agent must approve the proposed mare(s), Breeding Facility and Veterinarian. Should your application be unsuccessful then your Booking Fee will be refunded in full.

STALLION INFORMATION AND PRICING
A Booking Fee of $500 is payable per service to guarantee your breed. Shipping Fees will be invoiced separately and must be paid in full prior to despatch. In addition to the $500 Booking Fee the prescribed Stallion Fee (refer below) is payable on the 1st September in the year in which the breeding relates. All Fees include GST and are in Australian Dollars.

Fee Support for Return Breeders and Multiple Mare services is available upon request.

ARISTO TUFF (IMP) AU Q-91701 (Fresh is standard, Frozen by request) Refer Stallion Breeding Agreement
Six-Panel Genetic Disease Test Results: GBED N/N, HERDA N/N, HYPP N/N, MH N/N, PSSM 1 N/N, IMM N/N
Payment Schedule
Booking Fee: $500 due now to guarantee your stallion breeding service
Stallion Fee: $3,900 payable 1st September in the year in which the breeding relates

A TALE OF THE CAT (IS) AU Q-102417 USA #5385348 (Frozen semen) Refer Stallion Breeding Agreement
Six-Panel Genetic Disease Test Results: GBED N/N, HERDA N/HRD, HYPP N/N, MH N/N, PSSM 1 N/N, IMM N/N
Payment Schedule
Booking Fee: $500 due now to guarantee your stallion breeding service
Stallion Fee: $4,450 payable 1st September in the year in which the breeding relates

Stallion*

No. of Services per stallion*

Additional Breeding Information

How did you learn about the stallions, Torch and/or Tuff?

CREDIT CARD AUTHORITY | BANKING DETAILS
I/We authorise Borambil Pastoral Co. Australia to charge the credit card detailed hereunder for the Booking Fee of $500, the Stallion Fee when it becomes due and payable and the costs of shipping and handling ex Gene Movers VIC Australia for frozen semen. We understand there will be a 1.5% processing fee, and if payment cannot be actioned, we understand that a $44.00 administration fee may be charged for each additional attempt to finalise payment. If we choose to pay via direct debit to the nominated bank account below, we understand that semen will be dispatched once all funds are cleared.

BANKING DETAILS:
Bank & Branch: Bank of Queensland, Manly Sydney NSW 2095
Account Name: DR Kelynack & B Kelynack T/As Borambil Pastoral Co. Australia
BSB: 124 001 Account: 2300 5176
Description: Please use your name or your tax invoice no.

Name on Credit Card

Cardholder's organisation (if applicable)

Credit Card No.

Credit Card

Amex

Mastercard

Visa

Expiry Date

Credit Card CVN

By SUBMITTING this Application Schedule to breed to the Stallion(s) selected on this application, on behalf of myself and/or the organisation named, I/we agree to the terms and conditions set out in the relevant Stallion Breeding Agreement referenced herein, in particular Clause 2. LIVE FOAL GUARANTEE & RE-BREED SERVICE, which I/we acknowledge having read, bind the organisation and myself jointly and severally. A reference in the agreement to “Mare Owner” is deemed to include the organisation. Importantly, should my application be successful, I/we agree to pay the Stallion Fee at the commencement of the breeding season to which the service relates.

I/We advise that the details submitted in this Application Schedule are true and correct, and agree to be bound by the terms and conditions set out in the relevant Stallion Breeding Agreement.*

Date of application

Day/Month/Year

BORAMBIL PASTORAL CO. AUSTRALIA ABN 97 293 521 354 | 'BORAMBIL PARK' WARRAH RIDGE ROAD QUIRINDI NSW 2343 | T +61 419 949 888 | v2.0 2025-26