Agent Form

Date: 22, 23, 24 June 2011

To: Inglis
PO Box 477, Newmarket NSW 2031
Fax: 02 9398 7975

I, the undersigned hereby appoint:

(name of agent) .................................................................................................. of

(address) ............................................................................................................

to be my authorised Agent to act for me in all matters relating to the purchase of horses at the auction to be conducted by your Company on 22, 23, 24 June 2011 and to complete all necessary documents and in furtherance of such purchases on my behalf.

I understand and agree to be bound by the Conditions of Sale and I agree to pay for all my purchases by my agent.

This agency is revocable only in writing.

Name of Principal: ................................................................................................

Address: .............................................................................................................

..........................................................................................................................

Phone: Business: ........................................ Mobile: .............................................

Lots: ..................................................................................................................

Signature: ...........................................................................................................

The above agency is accepted for the

2011 AUSTRALIAN WEANLING AND BLOODSTOCK SALE Sale only.
Inglis


Per: ................................................... Date:.........................................................