REquest For u.s. export Name of horse(s) leaving country * Date of horse(s) leaving the country * MM DD YYYY Date papers to be picked up * MM DD YYYY Exporter Information - Canadian Address Consignor Name * First Name Last Name Mailing Address Address 1 Address 2 City State/Province Zip/Postal Code Country Horse Location * Legal Land Description (and facility name if applicable) Primary Contact Phone * Country (###) ### #### Importer Information - US Address Consignee Name * First Name Last Name Physical Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Name of Facility Phone * Country (###) ### #### Reason for leaving Canada Export Satus * Permanent (>30 days) Temporary (<30 days) Thank you!
