Bloodstock Research Information Services
                                P.O. Box 4097
                       Lexington, Kentucky 40544-4097
                             Tel: (800) 354-9206 
                             Fax: (859) 223-7024





                          Maiden Stats 2010 Order Form

Please send me ____ copies of Maiden Stats 2010. I have enclosed $99.95
plus $9.97  shipping and handling for each book.  Canada and foregin shipping and
handling 15.00 for each book.  (Kentucky residents add 6% sales tax.)



Method of Payment: __ Check Enclosed - payable to Bloodstock Research
          Bill my:   __ AMEX    __ Discover   __ VISA   __ MasterCard 

Card No. ___________________________________  Expires ____/____/______

Credit Card Identification Code: ____________ (a.k.a. CVV2, CVC2, or CID)

Signature ____________________________________________________________

Phone ______________________________  Fax ____________________________

Name _________________________________________________________________

Address ______________________________________________________________

City _______________________________  State __________  Zip __________






Sendto:                Bloodstock Research Information Services
                       attn: maiden stats
                       P.O. Box 4097
                       Lexington, Kentucky 40544-4097



Faxto:                 Fax: (859) 223-7024