ANOTHER CHANCE 4 HORSES Release of Liability  FORM  for Broker Owned Horses - This form and your proof of payment, is your bill of sale - retain for your records.

                                                                                                                 INSTRUCTIONS FOR COMPLETING THIS APPLICATION

Please read and complete this entire document carefully email or fax -info@ac4h.com or fax to 610-621-5299 make a copy for your records and mail the original to 166 Station Road.  Once funds are transferred to owner or representative of said equine Another Chance 4 Horses, Inc. cannot issue a refund if you cannot take the horse it will need to be re-homed by you to recoup the funds, any and all deposits are non-refundable.  We will be happy to assist by listing the horse free on our website and our forms are free for anyone to use (edit our info off add yours) to protect the horses.  Another Chance 4 Horses, Inc. is to be notified if said horse is going to be sold and has first right of refusal at price paid.

 Personal  Contact Information

 Your Name:                                                                                                 

Email Address: ______________________________________________

Address 1:                                                                                                    

Address 2:                                                                                                    

City, State, Zip:                                                                                           

Address Horse will be delivered to:  __________________________________________

 Telephone:  ________________________________________________

Cell Phone:  ________________________________________________

Work Phone:  ________________________________________________

Description of Equine

Be sure to list the horse’s name,  number and description here.

 Use the area below to give any further description of the horse you would like (including color, discipline, etc.)

Boarding

Temporary Boarding may be available.  Vet, farrier, dentist and training may be arranged for an additional fee.  Another Chance 4 Horses, Inc. and it's assigns will be held harmless for equines while in their care- you are responsible for your equine.  Rates are as follows: $350.00/month or prorated daily for light hors $450.00/month or prorated daily for draft horse. 

  Shipping/Quarantine

 Another Chance 4 Horses is not affiliated with any shipping companies, does not endorse any shipping companies and does not offer shipping internally.  We can assist you with receiving a shipping quote from independent shippers by presenting your information and zip code to independent shippers and to yahoo groups.  The shippers will contact you directly with quotes.  If you would like us to present your information to independent shippers please fill in the following information.   I am requesting and give my permission to present the information that I have provided for quotes.  I understand that arranging shipping of this equine is my responsibility. 

I understand I am purchasing a horse that is not quarantined.   It is recommended that you quarantine for 30 days and contact your veterinarian for advice

XX  Signature _____________________________________________________________________________

Insurance

Protect your horse with insurance - for example All American Horse Insurance -  offer's added security for the shipment and for 30 days thereafter at your facility.  (not affiliated with AC4H)  With living breathing creatures there can never be a 100% guarantee which is why we advise to protect your horse and your finances with Insurance.

 Waiver of Liability

By signing below, the buyer understands that Another Chance 4 Horses is simply an intermediary and does not own this equine.  Buyer agrees that Another Chance 4 Horses will be held harmless concerning said  horses.  Any and all questions and quarantine's should be requested in writing and will be presented to the party who owns said equine.  All information listed via www.anotherchance4horses.com, or and divisions thereof, regarding any particular equine is based solely on information provided by the owners or appointed representatives.   Buyer agrees that Another Chance 4 Horses and/or any representatives thereof can not be held liable for any misrepresentations, shipping of or care of said equine and will be held harmless regarding such. 

I,                                                         (print name), do hereby release Another Chance 4 Horses and any and all representatives of any liability for representation,  shipping  and or care of the horses offered for sale either via www.anotherchance4horses.com or any divisions thereof. 

XX                                                                                                                                                 
Signed                                                                                                      Date

 *Buyer signature warrants that they buyer is at least 18 years of age at the time of signature and acknowledges receipt of the Processing Terms and Conditions contained within this agreement.

Office Use Only

Horse name/number:                                                                    

Approximate ship date: