Chilled Semen Kit Request Form

Chilled Semen Kit Request Form

When a male is available and fertile, semen can be collected, chilled, and shipped for breeding. This process is made simple with our CLONE Buffers. Our chilled semen kits are designed for owners, breeders, and veterinarians, and contain everything you need to collect, prepare, and ship semen safely and effectively. Once your order is placed please allow 2-3 for processing. We do not ship out on Fridays. DOYLESTOWN ANIMAL MEDICAL CLINIC CANNOT BE HELD RESPONSIBLE, AND IS UNABLE TO ISSUE CREDIT, FOR PRODUCTS THAT DO NOT ARRIVE ON TIME.
Contact Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Need By Date*

MonthDayYear
Date
Breed of Dog*
How many Kit would you like to order?*
Below indicate where you would like your Invoice sent:

We send our invoices through Quickbooks. We appreciate payment prior to shipping out your package. FedEx Shipping is not included in the Chilled Semen Kit fee ($80.00 each).
Email*
example@example.com
Signature*

Clear
Should be Empty:

Below indicate where you would like your Invoice sent: