Appointment of Agent I, hereby appoint: Agent name: of Location & Country of Agent: to be my authorised agent to act for me in all matters relating to the purchase of horses at the Karaka 2019 - Book 1 27 - 30 January 2019 Karaka 2019 - Book 2 31 January - 1 February 2019 Karaka 2019 - Book 3 3 February 2019 to be conducted by New Zealand Bloodstock, and to to complete all necessary documentation in furtherance of any purchase at such sales made by him/her on my behalf. I place no limitation on the total sum my agent may expend on such purchases I hereby limit my agent to a total sum as recorded below which they may expend on such purchases NZ$ Only numbers, spaces and +. E.g. +649 1234 1234 The agent will be purchasing on behalf of: Myself as an Individual A Company Company Name: Letters and spaces only Company Number: Letters and spaces only Company Directors Guarantee Name: Letters and spaces only I understand and agree to be bound by the Conditions of Sale and I agree to pay for all purchases made by my agent (subject to any limitation imposed by me as specified above). This agency is revocable only in writing, and shall only take effect from the time and date upon which New Zealand Bloodstock Ltd receive notice of such revocation. First Name: Letters and spaces only Middle Name: Letters and spaces only Last Name: Letters and spaces only Full Residential Address: Phone number: Only numbers, spaces and +. E.g. +649 1234 1234 Mobile: Only numbers, spaces and +. E.g. +649 1234 1234 Email address: Only valid email address. E.g. name@something.com Date of Birth: DD Numbers only MM Numbers only YYYY Numbers only Occupation: Letters and spaces only I/we acknowledge that I/we have read and agree to be bound by the Conditions of Sale Send