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Your Details
Name
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Contact telephone daytime number
Contact telephone evening number
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Horse / Pony You Wish to Purchase
Name
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Seller Details
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Where will we be examining the horse or pony?
Name
Phone
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Additional Details
Please tick the box if you will be present at the examination
Please tick the box if Gil Riley Equine Vets are the current vets for the horse or pony?
Preferred Appointment Date
Do you require a 5-stage or 2-stage examination?
Do you intend to insure this Horse/Pony?
X-rays required?
If yes, please specify
Do you require endoscopy?
If no, please state reason
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