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Last Name *

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Number of Trims *

Number of Half Sets *

Number of Full Sets *

If you have more horses than in drop down please specify how many and type of service.

Last Service Date *

If Horse(s) has different last service date than selected please specify.

If any horse had or has an injury please explain:

Address Location for Horses *

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Phone *

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John A.
Farrier

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Call us: (785) 953-1032