By signing this form /we agree to the below:
Agree to Pay $ per year for an unlimited number of straws/vials.
Agree that we have permission of ALL co-owner(s) to have the above dog collected, frozen and
stored as well as own the rights, liabilities related to this collection.
Agree that if the storage fees fall delinquent after 60 days all the semen related to this collection will be
destroyed by the facility.
Agree that this facility is not held responsible for ensuring a DNA sample is on file with AKC. AKC
requires a DNA sample on file for the sire of any litter resulting from frozen semen.