“Beautiful Horses of Indiana ”
Printable Nomination Form

Equine artist Karen Brenner is seeking nominations for her upcoming series of paintings, “Beautiful Horses of Indiana.”

To enter by mail, print this form. Complete it and mail it to: Karen Brenner, 3613 Triway Lane, Wooster, Ohio 44691.
Or enter using the online form. Entries must be received by March 30, 2010.
Owners of selected horses will be notified by April 15, 2010.

Horse’s name __________________________________________________

Breed________________________________ Age_____________________

Color ___________________ Gender ___________________

Description of why this horse should be included in the project: (300 words or less)

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Owner’s name _______________________________________________________________

If owner is under 18 years old, please list parent’s name _________________________________________

Address ____________________________________ State __________ Zip __________________

Does the horse live at this address? __________

If no, please list horse's address ___________________________________________________________

Email ________________________________________ Phone ______________________________

Address where horse resides (if different than address above) _________________________________

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Nominator’s name (if different than owner) ________________________________________________

Nominator’s email address _______________________ Nominator’s phone ________________________

Horse Paintings by Karen Brenner
3613 Triway Lane, Wooster, Ohio 44691 330-263-1023 www.karenbrenner.com kmbrenner@hotmail.com