Contact Info:
Name
*
First Name
Last Name
What is your farm/business name?
*
Farm name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Shipping Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Billing Address (if different from Shipping):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Questions:
Are you milking cows or goats and how many?
*
Breed and age of animal(s)?
*
Where did you acquire or purchase your animal(s)?
*
Do you have experience working with dairy cows/goats? If so, please describe your experience.
*
How many days/months has each animal been milking?
*
Is your animal pregnant?
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Yes
No
Unknown
Is the milk for home consumption or for another purpose?
*
Are you sharing the milk with a nursing kid or calf?
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Yes
No
Are you working with a veterinarian?
*
Yes
No
Vet Name and Clinic Name:
Are there any current or previous udder health or mastitis issues? Have you treated her/them recently for mastitis?
*
Can you explain your milking procedure from udder prep to post milking?
*
Do you milk by hand or machine? If machine-what brand, new or used, is the pulsation in the claw or bucket, how do you clean the machine?
*
Can you explain your milking processing procedure from post milking to the finished product?
*
What is your milk quality concern?
*
Have you previously tested your milk or finished product? If so, what were the tests and results?
*
How did you hear about us? (ex. Blog, Facebook, Instagram)
*
**Please Note!!** Upon submission of this form, you will be redirected to a page where you can purchase your test kit. This is a required step to begin the testing process. You will NOT receive a kit or be contacted by UHS without this step. Please enter "I understand" to acknowledge that you have read this notice and to submit the form.
*
Submit
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