2009 Stallion Service Application
Stallion Booked To
Stud Fee
+ GST
Breeding Method
Name of Mare
Tattoo#
Mares race record and earning:
IMPORTANT: Is this an Embryo Donor ?
Correspondent
Name
Farm
Address
Day Phone:
Day Phone Ext
Night Phone
Fax #
E-mail
Mares Pedigree
Sire of Mare
Dam of Mare
Sire of Dam
Sire of Sire
Address and Phone of "Contact" at mare's physical location (or same)
Address and Phone of "Semen Receiver"(or same)
Semen "Pick-Up Hub" or "Pick-Up Agent"
Billing Person and Address (or same)
Mare's Breeding History
Has the mare ever had a reproductive tract infection, a difficult foaling or any other breeding problem?
Name of stallion bred-to last season
In Foal?
Date last bred
If mare is in foal, due date is
If mare has already foaled, date of foaling was
If mare was not bred last year, the reason is
or other
If mare is not in foal, the reason is or other
or other
Complete Credit Card Information (as below) IS REQUIRED FOR ALL SEMAN TRANSPORTATION ORDERS:
Use same credit card information as last season
Credit Card Company: VISA or:
Person's Name On Credit Card:
Card Number:
Expiry Date:
Semen transport container of pererence is
I hereby apply, based on the information supplied above and the conditions above, for a booking to the above named stallion for this mare, and if such booking is approved by Seelster Farms Inc., it shall become a contract between us.
NAME OF OWNER
DATE:
|
