Pre Purchase Information

Buyer Information Sheet

Thank you for using Aiken Equine Veterinary Associates for your pre purchase exam. Please fill out the information below and our office will contact you to finish setting up your exam. For seller and horse information, please visit our Seller Information Sheet.

Buyer Information

Buyer's Name:
Buyer's Name:
Field is required!
Field is required!
Buyer Address:
Buyer Address
Field is required!
Field is required!
City, State, Zip Code:
Address Line 2
Field is required!
Field is required!
Buyer Phone Number:
Buyer Phone Number
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Field is required!
Buyer E-mail Address:
Buyer E-mail Address
Field is required!
Field is required!
Buyer's Agent Name:
Buyer's Agent Name
Field is required!
Field is required!
Buyer's Agent Phone Number:
Buyer's Agent Phone Number
Field is required!
Field is required!
Buyer's Agent E-mail Address:
Buyer's Agent E-mail Address
Field is required!
Field is required!
Seller Name:
Seller Name
Field is required!
Field is required!
Seller's Phone Number:
Seller's Phone Number
Invalid phonenumber!
Invalid phonenumber!
Seller's E-mail Address:
Seller's E-mail Address
Field is required!
Field is required!
Horse's Name:
Horse Name
Field is required!
Field is required!
Horse's Location:
Please indicate where horse is currently stabled.
Field is required!
Field is required!
Please Describe Horse's Intended Use:
Intended Use
Field is required!
Field is required!