to the Atlantic Provinces Harness Racing Commission
(See Section 7.3 Appeals of the Atlantic Provinces Harness Racing Commission Rules)


In Accordance with the Atlantic Provinces Harness Racing Commission Rules and Regulations, I hereby serve notice of my Intent to Appeal the decision of
at
on
Race No.
in connection with


Within eight (8) days (192) hours of filing a Notice of Intent to Appeal, the person aggrieved shall file a Notice of Appeal with the Director of Racing on a form prescribed by the Atlantic Provinces Harness Racing Commission setting out the particulars of the decision or ruling being appealed, the parties to the appeal and the grounds for the appeal.


TERMS OF ACCEPTANCE and SIGNATURE

  I warrant the truthfulness of the information provided on this Notice of Intent to Appeal, and I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of acceptance for this Notice of Intent to Appeal.