Buyers Registration

Please send the following information, by mail to:
Black Acre Farm
7406 Libertytown Road
Berlin, Maryland  21811

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Buyer’s Registration Form

Buyer’s Name____________________________  Address_______________________

Telephone_______________________________  ______________________________

        ______________________________

Item you would like to buy: _______________________________________________________
 

For horses and ponies fill out the information below.

Age____________  Sex________________  Price Range______________

Color preference ___________________________  Height________________________

What animal is to be used for ______________________________________________________ ____________________________________________________________________________________________________________________________________________________________

Anything else you would like to add ________________________________________________ ____________________________________________________________________________________________________________________________________________________________

Include any information you think this agency needs to know in order to better serve you.  The buyer needs to inform the seller of the items that you have been referred to them by this agency.

By signing this agreement the Buyer agrees to give the Equine Referral Service a referral fee of $25.00 upon the purchase of each item bought from a Seller that this agency has referred to them.
 

Signature_______________________________________  Date____________________
 

Referral fee checks are to be made out to :  Black Acre Farms Inc.
Mail to address above.